A case of cutaneous paragonimiasis with pleural effusion

Teruki Dainichi, Tsuyoshi Nakahara, Yoichi Moroi, Kazunori Urabe, Tetsuya Koga, Masato Tanaka, Yukifumi Nawa, Masutaka Furue

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Background: Paragonimiasis is an infectious disease caused by Paragonimus, which persists in the lung of mammals. Infection in the skin is very rare. Results: A subcutaneous tumor with itching developed on the right lateroabdominal region of a 55-year-old man 10 days after eating fresh-water crab. It was surgically excised 2 months later. Examination of a specimen of the surgically excised tumor revealed an abscess containing many eosinophils. Parasites or other infectious organisms were not found in sections. The blood eosinophil count of the patient was elevated, and P. westermani-specific immunoglobulin G (IgG) antibody titer was strongly detected in the serum. The tumor was diagnosed as cutaneous paragonimiasis caused by P. westermani. Three months after eating the crab, a chest X-ray film showed a pleural effusion. P. westermani-specific IgG antibody was also detected in the pleural fluid. The patient was given 75 mg/kg/day of praziquantel for 3 days. The pleural effusion gradually disappeared after the medication. Conclusions: This patient had cutaneous paragonimiasis with a skin tumor that was diagnosed prior to the expression of a pleural effusion.

Original languageEnglish
Pages (from-to)699-702
Number of pages4
JournalInternational Journal of Dermatology
Volume42
Issue number9
DOIs
Publication statusPublished - Sep 1 2003

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Paragonimiasis
Pleural Effusion
Skin
Eosinophils
Neoplasms
Paragonimus
Eating
Immunoglobulin G
Praziquantel
X-Ray Film
Antibodies
Pruritus
Fresh Water
Abscess
Communicable Diseases
Mammals
Parasites
Thorax
Lung
Infection

All Science Journal Classification (ASJC) codes

  • Dermatology

Cite this

A case of cutaneous paragonimiasis with pleural effusion. / Dainichi, Teruki; Nakahara, Tsuyoshi; Moroi, Yoichi; Urabe, Kazunori; Koga, Tetsuya; Tanaka, Masato; Nawa, Yukifumi; Furue, Masutaka.

In: International Journal of Dermatology, Vol. 42, No. 9, 01.09.2003, p. 699-702.

Research output: Contribution to journalArticle

Dainichi, Teruki ; Nakahara, Tsuyoshi ; Moroi, Yoichi ; Urabe, Kazunori ; Koga, Tetsuya ; Tanaka, Masato ; Nawa, Yukifumi ; Furue, Masutaka. / A case of cutaneous paragonimiasis with pleural effusion. In: International Journal of Dermatology. 2003 ; Vol. 42, No. 9. pp. 699-702.
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AU - Tanaka, Masato

AU - Nawa, Yukifumi

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