• Internal medicine · Jul 2000

    Case Reports

    Paragonimiasis miyazakii associated with bilateral pseudochylothorax.

    • Y Inoue, T Kawaguchi, A Yoshida, H Harada, H Hara, S Yamamoto, and M Sakatani.
    • Department of Internal Medicine, National Kinki-Chuo Hospital for Chest Diseases, Sakai, Osaka.
    • Intern. Med. 2000 Jul 1; 39 (7): 579-82.

    AbstractA 37-year-old man who suffered from bilateral pleural effusions, subcutaneous abdominal induration and blood eosinophilia, was admitted to our hospital. He had ingested raw crabs at a pub-restaurant before the onset of his symptoms. His pleural effusions were chyliform containing cholesterol crystals, and a high level of immunoglobulin E (36,580 IU/ml) and anti-Paragonimus miyazakii antibody were detected. He was effectively treated with praziquantel. This case suggests that paragonimiasis should be strongly suspected if blood eosinophilia, pseudochylothorax, and a high level of immunoglobulin E in pleural effusion are detected.

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