Paragonimiasis misdiagnosed as liver abscess:A case report
作者机构：Department of General PracticeTaihe HospitalHubei University of MedicineShiyan 442000Hubei ProvinceChina Department of Pulmonary and Critical Care MedicineTaihe HospitalHubei University of MedicineShiyan 442000Hubei ProvinceChina
出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)
年 卷 期：2024年第12卷第21期
页 面：4807-4812页
学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学]
主 题：Liver paragonimiasis Liver abscess Misdiagnosis Albendazole Praziquantel Case report
摘 要：BACKGROUNDParagonimiasis is a typical food-borne zoonotic disease. Hosts acquire Paragonimusinfection through the ingestion of raw or undercooked crayfish and *** clinical manifestations of the disease are varied, and it is often misdiagnosedor missed. The diagnosis of paragonimiasis should be considered *** is the first choice for treatment, and albendazole can beused in combination with repeated courses in severe *** SUMMARYWe report a case of liver paragonimiasis that was misdiagnosed as an abscess. Thepatient presented with fatigue and poor appetite for 2 months, and was diagnosedwith liver abscess in the local hospital. After 6 months, the patient visited ourhospital because of recurrent abdominal pain and was diagnosed with liverparagonimiasis based on epidemiological history, clinical presentations, andlaboratory findings. He was treated with praziquantel (25 mg/kg) three times aday for 3 days;however, the symptoms still presented after treatment. He wastreated with oral praziquantel and albendazole for one further course. Follow-upsuggested that the treatment was effective and the symptoms *** combination of albendazole and praziquantel may improve the therapeuticefficacy of paragonimiasis.
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