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Atypical subcutaneous nodule-type paragonimiasis in 3 children: case series
Zhaokun Guo1, Ying Jiang1, Keheng Deng1
1Department of Pediatric Surgery, The First Affiliated Hospital of China Three Gorges University (Yichang Central People's Hospital), Yichang, China.
Objective:
To analyze the clinical characteristics of atypical subcutaneous nodule-type paragonimiasis in children and accumulate experience in its diagnosis and treatment.
Methods:
A retrospective analysis was conducted on the clinical data of 3 pediatric cases with atypical subcutaneous nodule-type paragonimiasis.
Results:
All patients had a clear epidemiological history, significantly elevated peripheral blood eosinophils and positive Paragonimus antibodies. Oral praziquantel achieved excellent therapeutic effects, and surgery could serve as an adjuvant treatment.
Conclusion:
Paragonimiasis presents with complex and diverse clinical manifestations, and its clinical symptoms and signs lack specificity. Attention should be paid to taking a detailed epidemiological history; elevated eosinophils and positive Paragonimus antibodies are helpful for diagnosis. Oral praziquantel combined with adjuvant surgical treatment can yield good clinical outcomes.
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