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Diagnosis and surgical management of pericardial effusion due to paragonimiasis

Yuhao Wu1, Yuehang Zhou1, Xin Jin1

  • 1Department of Cardiothoracic Surgery, Children's Hospital of Chongqing Medical University, Chongqing, China; Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China; China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing, China; Chongqing Key Laboratory of Pediatrics, Chongqing, China.

International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases
|April 2, 2019
PubMed

Insights

Pericardial effusion caused by paragonimiasis is rare. Surgical management and praziquantel therapy led to satisfactory outcomes in 57 pediatric cases, highlighting the need for prompt intervention.

Area of Science:

  • Infectious Diseases
  • Parasitology
  • Cardiology

Background:

  • Pericardial effusion (PE) due to paragonimiasis is infrequently documented.
  • Paragonimiasis, a parasitic lung fluke infection, can rarely manifest with cardiac involvement.

Purpose of the Study:

  • To describe the diagnostic and surgical management experiences of pediatric patients with PE caused by paragonimiasis.
  • To highlight key clinical features and treatment outcomes.

Main Methods:

  • Retrospective review of 57 children diagnosed with PE due to paragonimiasis and treated surgically.
  • Analysis of medical records, including ELISA for Paragonimus skrjabini, imaging, pathological findings, and treatment outcomes.

Main Results:

  • All 57 patients tested positive for Paragonimus skrjabini via ELISA.
  • Moderate to large PE was observed in all patients, with 45 having large effusions.
  • Pathological examination revealed significant eosinophil infiltration; all patients showed satisfactory outcomes after surgery and praziquantel therapy.

Conclusions:

  • A history of endemic exposure, eosinophilia, and serous effusion should raise suspicion for paragonimiasis.
  • Surgical intervention is crucial for managing moderate to large pericardial effusion in patients with confirmed paragonimiasis.
Abstract

Keywords:
ChildrenDiagnosisParagonimiasisPericardial effusionSurgery

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