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[PMID]:28640131
[Au] Autor:Gong Z; Miao R; Shu M; Zhu Y; Wen Y; Guo Q; Liao Q; Wan C
[Ad] Endereço:Department of Pediatric Infectious Disease, West China Second University Hospital/West China Women's and Children's Hospital, Sichuan University, Chengdu, Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education (Sichuan University) China.
[Ti] Título:Paragonimiasis in Children in Southwest China: A retrospective case reports review from 2005 to 2016.
[So] Source:Medicine (Baltimore);96(25):e7265, 2017 Jun.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Paragonimiasis infection has no specific symptoms or typical radiologic findings, leading to the possibility of misdiagnosis. Thus, the objective of this study was to analyze clinical and radiological features, and treatment outcome of paragonimiasis in children in Southwest China to improve the awareness of this disease. METHODS: We retrospectively reviewed the records of children diagnosed with paragonimiasis in West China Second University Hospital between 2005 and 2016. The confirmed diagnosis of paragonimiasis was based on epidemiology history and seropositivity for paragonimiasis and/or detection of paragonimus eggs. Clinical, laboratory, and imaging findings of patients were examined in order to summarize risk factors, clinical characteristics, and treatment outcomes of these patients. RESULTS: A total of 123 patients were included; of them 112 (91.1%) lived in villages and 72 (58.5%) had a history of consuming freshwater crabs. Patients with paragonimiasis most frequently showed respiratory symptoms, including cough (26.0%, 32/123) and tachypnea (16.3%, 20/123), and gastrointestinal symptoms, including abdominal pain (26.8%, 33/123), abdominal distention (22.8%, 28/123), and vomiting (13.0%, 16/123). Laboratory examination showed elevated white blood cell (WBC) counts in the peripheral blood in 89 (72.4%) patients and eosinophilia in 102 (82.9%) patients. Tuberculosis (TB) coinfection was found in 4 (3.3%) patients. Main imaging findings included: effusions (90.4%), lymphadenopathy (40.4%), pulmonary ground-glass opacities (36.2%), cystic lesions (18.1%), and pleural thickening (17.0%). Twenty-nine patients (23.6%) received more than 1 course of praziquantel (PZQ). Additionally, 4 (19.0%) of 21 patients who were discharged from the hospital without complete treatment required rehospitalization for residual serous effusions. Moreover, patients from pericardial effusion group showed longer hospital stays and less elevated WBC counts than those from nonpericardial effusion group. CONCLUSION: Paragonimiasis should be considered in patients from endemic areas, especially in those with gastrointestinal and/or respiratory symptoms, elevated WBC count, eosinophilia, and serous effusions. Additionally, longer hospital stay may be necessary in cases of paragonimiasis associated with pericardial effusions.
[Mh] Termos MeSH primário: Paragonimíase/diagnóstico
Paragonimíase/terapia
[Mh] Termos MeSH secundário: Adolescente
Anti-Helmínticos/administração & dosagem
Biomarcadores/sangue
Biomarcadores/líquido cefalorraquidiano
Criança
Pré-Escolar
China/epidemiologia
Diagnóstico Precoce
Doenças Endêmicas
Ensaio de Imunoadsorção Enzimática
Feminino
Seres Humanos
Lactente
Tempo de Internação
Masculino
Paragonimíase/epidemiologia
Paragonimíase/fisiopatologia
Readmissão do Paciente
Derrame Pericárdico/diagnóstico
Derrame Pericárdico/epidemiologia
Derrame Pericárdico/etiologia
Derrame Pericárdico/terapia
Praziquantel/administração & dosagem
Estudos Retrospectivos
Frutos do Mar
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anthelmintics); 0 (Biomarkers); 6490C9U457 (Praziquantel)
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170717
[Lr] Data última revisão:
170717
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170623
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000007265


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[PMID]:28395568
[Au] Autor:Shin DH; Kim YS; Yoo DS; Kim MJ; Oh CS; Hong JH; Lee E; Chai JY; Seo M
[Ad] Endereço:Bioanthropology and Paleopathology Lab, Institute of Forensic Science, Seoul National University College of Medicine, 103 Daehak-ro (Yongon-dong), Jongno-gu, Seoul 03080, South Korea. Correspondence should be sent to M. Seo at: bbbenji@naver.com.
[Ti] Título:A Case of Ectopic Paragonimiasis in a 17th Century Korean Mummy.
[So] Source:J Parasitol;103(4):399-403, 2017 Aug.
[Is] ISSN:1937-2345
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Archaeoparasitological studies on fossilized feces obtained from Joseon Dynasty (1392-1910 CE) mummies have provided invaluable data on the patterns of parasitic infection in pre-modern Korean societies. In our recent radiological investigation of a 17th century Joseon mummy discovered in Cheongdo (South Korea), we located a liver mass just below the diaphragm. Anatomical dissection confirmed the presence of a mass of unknown etiology. A subsequent parasitological examination of a sample of the mass revealed a large number of ancient Paragonimus sp. eggs, making the current report the first archaeoparasitological case of liver abscess caused by ectopic paragonimiasis.
[Mh] Termos MeSH primário: Múmias/parasitologia
Paragonimíase/história
[Mh] Termos MeSH secundário: Animais
Autopsia
História do Século XVII
Seres Humanos
Coreia (Geográfico)
Fígado/diagnóstico por imagem
Fígado/parasitologia
Fígado/patologia
Masculino
Meia-Idade
Paragonimíase/diagnóstico por imagem
Paragonimíase/patologia
Paragonimus/isolamento & purificação
República da Coreia
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; HISTORICAL ARTICLE; JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170818
[Lr] Data última revisão:
170818
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170412
[St] Status:MEDLINE
[do] DOI:10.1645/16-63


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[PMID]:28173670
[Au] Autor:Liu Q; Zhang H; Zhao YM; Zhou LL; Gao BH; Chen YP
[Ad] Endereço:Departments of Pediatric Infection, the Second Hospital Affiliated to Wenzhou Medical University, Wenzhou 325027, China.
[Ti] Título:[Clinical, pathologic and radiologic analysis of paragonimiasis in children].
[So] Source:Zhonghua Bing Li Xue Za Zhi;46(2):108-111, 2017 Feb 08.
[Is] ISSN:0529-5807
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:To analyze the clinical, pathological and radiological characteristics of paragonimiasis in children for accurate diagnosis and therapy. A total of 31 patients with paragonimiasis treated from 2002 to 2016 were selected, including 17 cases from migrant areas and 14 cases from Wenzhou area. In migrant children group, the serum IgE was significantly higher than that in Wenzhou area group [(2 379±944) IU/mL∶(1 552±1 121) IU/mL, =-2.23, <0.05], and the duration of therapy was remarkable longer [(13.8±6.5) days∶(9.9±3.4) days, =-2.15, <0.05]. Among all cases, 10 showed polyserositis including pleural effusion, ascites and pericardial effusion at different degrees on chest CT scans. Five cases with cerebral paragonimiasis were confirmed by MR imaging. Most of the lesions were located in the parietal lobe with slight low signal on T1WI but high signal on T2WI surrounded by disproportionate edema. Annular enhancement was prominent by Gd-DTPA. Paragonimiasis serum antibody was positive in all cases by ELISA. Pathologic features included formation of irregular lacunae or sinus tracts, presence of paragonimus bodies, and eosinophilic infiltration in the adjacent tissues. Clinical manifestations of paragonimiasis are complex and non-specific in children.In migrant children group, clinical manifestations are diverse, more serious with more complications and difficulties in treatment, while patients in Wenzhou area group have favorable prognosis and less complicated treatment. The early diagnosis and timely treatment should be determined by patient's detailed history, eosinophilic count, radiologic findings and immunological test to avoid serious complications.
[Mh] Termos MeSH primário: Encefalopatias
Paragonimíase
[Mh] Termos MeSH secundário: Ascite/diagnóstico por imagem
Encefalopatias/diagnóstico
Encefalopatias/patologia
Encefalopatias/terapia
Criança
China
Ensaio de Imunoadsorção Enzimática
Feminino
Seres Humanos
Imunoglobulina E/sangue
Masculino
Paragonimíase/diagnóstico
Paragonimíase/patologia
Paragonimíase/terapia
Lobo Parietal/diagnóstico por imagem
Derrame Pleural/diagnóstico por imagem
Tomografia Computadorizada por Raios X
Migrantes
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
37341-29-0 (Immunoglobulin E)
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170726
[Lr] Data última revisão:
170726
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170209
[St] Status:MEDLINE
[do] DOI:10.3760/cma.j.issn.0529-5807.2017.02.009


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[PMID]:28127717
[Au] Autor:Kim TI; Oh SR; Dai F; Yang HJ; Ha SD; Hong SJ
[Ad] Endereço:Department of Medical Environmental Biology, College of Medicine, Chung-Ang University, Dongjak-gu, Seoul, 06974, South Korea.
[Ti] Título:Inactivation of Paragonimus westermani metacercariae in soy sauce-marinated and frozen freshwater crabs.
[So] Source:Parasitol Res;116(3):1003-1006, 2017 Mar.
[Is] ISSN:1432-1955
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:Soy sauce-marinated freshwater crabs (Eriocheir japonicus) are a source of human paragonimiasis. The viability of Paragonimus westermani metacercariae (PwMc) in marinated crabs was investigated in an experimental setting. The PwMc collected from freshwater crayfish were inoculated into freshwater crabs, which were then frozen or marinated in soy sauce. All PwMc in the freshwater crabs were inactivated after freezing for 48 h at -20 °C and after freezing for 12 h at -40 °C. After marinating for 32 days, the survival rate of PwMc in 5% NaCl soy sauce was 50%, in 7.5% NaCl soy sauce it was 33.3%, and in 10.0% NaCl soy sauce it was 31.3%. When marinated for 64 days, all PwMc were inactivated in all experimental groups. These results revealed that freezing and soy sauce marination were detrimental to the survival of PwMc in freshwater crabs. Specifically, freezing crabs for more than 48 h or soaking them in soy sauce containing at least 5.0% NaCl for 64 days can inactivate PwMc. These results can inform the production of the traditional Korean soy sauce-marinated freshwater crabs known as gejang.
[Mh] Termos MeSH primário: Contaminação de Alimentos/prevenção & controle
Conservação de Alimentos/métodos
Conservantes de Alimentos/farmacologia
Paragonimíase/prevenção & controle
Paragonimus westermani/fisiologia
Frutos do Mar/parasitologia
[Mh] Termos MeSH secundário: Animais
Contaminação de Alimentos/análise
Conservantes de Alimentos/análise
Água Doce/parasitologia
Seres Humanos
Paragonimíase/parasitologia
Paragonimíase/transmissão
Paragonimus westermani/efeitos dos fármacos
Paragonimus westermani/isolamento & purificação
Frutos do Mar/análise
Cloreto de Sódio/análise
Cloreto de Sódio/farmacologia
Alimentos de Soja/análise
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Food Preservatives); 451W47IQ8X (Sodium Chloride)
[Em] Mês de entrada:1706
[Cu] Atualização por classe:171007
[Lr] Data última revisão:
171007
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170128
[St] Status:MEDLINE
[do] DOI:10.1007/s00436-017-5380-7


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[PMID]:28027969
[Au] Autor:Hernández-Chea R; Jiménez-Rocha AE; Castro R; Blair D; Dolz G
[Ad] Endereço:Maestría en Enfermedades Tropicales, Posgrado Regional en Ciencias Veterinarias Tropicales, Universidad Nacional, Campus Benjamín Nuñez, Barreal de Heredia, P.O. Box 86, 3000 Heredia, Costa Rica. Electronic address: roderik123animal@gmail.com.
[Ti] Título:Morphological and molecular characterization of the metacercaria of Paragonimus caliensis, as a separate species from P. mexicanus in Costa Rica.
[So] Source:Parasitol Int;66(2):126-133, 2017 Apr.
[Is] ISSN:1873-0329
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:The trematode Paragonimus mexicanus is the etiological agent of paragonimiasis, a food-borne zoonotic disease in Latin America. This species, as well as Paragonimus caliensis, have been reported from Costa Rica, but it is not known if the two are synonymous. Two types of Paragonimus metacercariae from freshwater pseudothelphusid crabs from several localities in Costa Rica were recognized by light microscopy. Morphologically, these corresponded to descriptions of P. mexicanus and P. caliensis. Metacercariae of the former species lacked a membrane or cyst and their bodies were yellow in color. Those of P. caliensis were contained in a transparent thin cyst and were pink in color. Morphotypes of metacercariae were determined using scanning electron microscopy (SEM). Based on the number and distribution of papillae in the ventral sucker, three morphotypes were found for P. mexicanus and two for P. caliensis. Analysis of DNA sequences (nuclear ribosomal 28S and ITS2 genes, and partial mitochondrial cox1 gene) confirmed the presence of P. mexicanus and provided the first molecular data for P. caliensis. The two species are phylogenetically distinct from each other and distant from the Asian species. The confirmation of P. caliensis as a separate species from P. mexicanus raises several questions about the ecology, biological diversity, and epidemiology of the genus Paragonimus in Costa Rica.
[Mh] Termos MeSH primário: Metacercárias/anatomia & histologia
Metacercárias/genética
Paragonimus/classificação
[Mh] Termos MeSH secundário: Animais
Sequência de Bases
Braquiúros/parasitologia
Costa Rica/epidemiologia
DNA de Helmintos/genética
DNA Espaçador Ribossômico/genética
Água Doce/parasitologia
Genes Mitocondriais
Metacercárias/ultraestrutura
Microscopia Eletrônica de Varredura
Microscopia de Polarização
Paragonimíase/epidemiologia
Paragonimíase/parasitologia
Paragonimus/genética
Paragonimus/crescimento & desenvolvimento
Paragonimus/ultraestrutura
Filogenia
Análise de Sequência de DNA
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (DNA, Helminth); 0 (DNA, Ribosomal Spacer)
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170413
[Lr] Data última revisão:
170413
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161229
[St] Status:MEDLINE


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[PMID]:27879464
[Au] Autor:Calvopina M; Romero-Alvarez D; Macias R; Sugiyama H
[Ad] Endereço:Unidad de Parasitología Molecular y Medicina Tropical, Carrera de Medicina, Universidad De Las Américas (UDLA), Quito, Ecuador. manuelcalvopina@gmail.com manuel.calvopina@udla.edu.ec.
[Ti] Título:Severe Pleuropulmonary Paragonimiasis Caused by Paragonimus mexicanus Treated as Tuberculosis in Ecuador.
[So] Source:Am J Trop Med Hyg;96(1):97-99, 2017 Jan 11.
[Is] ISSN:1476-1645
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:A 30-year-old male, from a subtropical region of Ecuador, was hospitalized with a 5-year history of persistent cough with rusty brown sputum, chest pain, and progressive dyspnea. The patient underwent thoracic surgery 3 years ago for pleural effusion and subsequently received a 9-month regimen treatment of tuberculosis. However, there was no clinical resolution and symptoms became progressively worse. A chest radiograph and computerized tomography scan showed several small nodules in both lungs. Eggs of Paragonimus spp. were observed in sputum smears, but the smears were negative for acid-fast bacilli. Molecular characterization of eggs by the internal transcribed spacer-2 regions identified them as Paragonimus mexicanus The patient was treated with praziquantel and tested negative parasitologically for 12 months. There was clinical resolution of the cough and expectoration, but dyspnea and chest pain persisted.
[Mh] Termos MeSH primário: Pneumopatias Parasitárias/patologia
Paragonimíase/epidemiologia
Paragonimíase/patologia
Paragonimus/isolamento & purificação
Doenças Pleurais/patologia
[Mh] Termos MeSH secundário: Adulto
Animais
Equador/epidemiologia
Seres Humanos
Pneumopatias Parasitárias/tratamento farmacológico
Pneumopatias Parasitárias/parasitologia
Masculino
Paragonimíase/tratamento farmacológico
Paragonimus/classificação
Doenças Pleurais/tratamento farmacológico
Doenças Pleurais/parasitologia
Praziquantel/uso terapêutico
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
6490C9U457 (Praziquantel)
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170531
[Lr] Data última revisão:
170531
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161124
[St] Status:MEDLINE
[do] DOI:10.4269/ajtmh.16-0351


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[PMID]:27796563
[Au] Autor:Yu S; Zhang X; Chen W; Zheng H; Ai G; Ye N; Wang Y
[Ad] Endereço:Institute of Tropical Medicine, Third Military Medical University, Chongqing, 400038, China.
[Ti] Título:Development of an immunodiagnosis method using recombinant PsCP for detection of Paragonimus skrjabini infection in human.
[So] Source:Parasitol Res;116(1):377-385, 2017 Jan.
[Is] ISSN:1432-1955
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:Paragonimiasis skrjabini is a kind of zoonosis and prevalent in 16 provinces in China, such as Chongqing, Fujian, Sichuan, and Yunnan. However, sensitive and efficient diagnostic methods for the infection are limited. In order to provide a more convenient and simple method for serologic diagnosis, the recombinant P. skrjabini cysteine protease (PsCP) was expressed, purified, and then used to develop an indirect enzyme-linked immunosorbent assay (ELISA) for detecting anti-PsCP antibodies in human. Given the positive/negative cutoff value as 0.606, the maximum dilution of human sera in which anti-PsCP antibodies could be detected was 1:12,800. In addition, the coefficients of variation (CVs) of inter-assay and intra-assay experiments were both below 10 %. Furthermore, the sensitivity of the PsCP-based ELISA was 95.5 %, and the indirect ELISA displays no cross-reactivity with human antisera against Echinococcus granulosus, Taenia solium, Schistosoma japonicum, and Trichinella spiralis, either. In conclusion, recombinant PsCP was readily produced and used to establish a simple PsCP-based ELISA that provided a highly specific and sensitive method for analysis of clinical samples. Besides, the method can also probably be used to diagnose P. skrjabini infection in animals.
[Mh] Termos MeSH primário: Proteínas de Helminto/imunologia
Paragonimíase/diagnóstico
Paragonimíase/parasitologia
Paragonimus/isolamento & purificação
Proteínas Recombinantes
[Mh] Termos MeSH secundário: Animais
Anticorpos Anti-Helmínticos/sangue
Antígenos de Helmintos
China
Reações Cruzadas
Ensaio de Imunoadsorção Enzimática/métodos
Seres Humanos
Soros Imunes/imunologia
Testes Imunológicos
Sensibilidade e Especificidade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antibodies, Helminth); 0 (Antigens, Helminth); 0 (Helminth Proteins); 0 (Immune Sera); 0 (Recombinant Proteins)
[Em] Mês de entrada:1706
[Cu] Atualização por classe:171007
[Lr] Data última revisão:
171007
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161101
[St] Status:MEDLINE


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[PMID]:27928089
[Au] Autor:Amaro DE; Cowell A; Tuohy MJ; Procop GW; Morhaime J; Reed SL
[Ad] Endereço:Department of Pathology, University of California San Diego School of Medicine, La Jolla, California.
[Ti] Título:Cerebral Paragonimiasis Presenting with Sudden Death.
[So] Source:Am J Trop Med Hyg;95(6):1424-1427, 2016 Dec 07.
[Is] ISSN:1476-1645
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:A 58-year-old Korean-born woman with a history of seizures and psychiatric issues was found dead at home. Autopsy was notable for large, calcified nodules that had nearly replaced her right temporal lobe. Histologic examination revealed the presence of Paragonimus eggs. This case demonstrates a rare manifestation of an aberrantly migrated lung fluke that resulted in epilepsy and sudden death years after the initial infection.
[Mh] Termos MeSH primário: Encefalopatias/parasitologia
Paragonimíase/patologia
[Mh] Termos MeSH secundário: Animais
Encéfalo/parasitologia
Encéfalo/patologia
Morte Súbita
Evolução Fatal
Feminino
Seres Humanos
Meia-Idade
Paragonimíase/epidemiologia
Paragonimus/isolamento & purificação
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170526
[Lr] Data última revisão:
170526
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161209
[St] Status:MEDLINE


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[PMID]:27725555
[Au] Autor:Nureki SI; Ishii K; Fujisaki H; Torigoe M; Maeshima K; Shibata H; Miyazaki E; Kadota JI
[Ad] Endereço:Department of Respiratory Medicine and Infectious Diseases, Oita University Faculty of Medicine, Japan.
[Ti] Título:Familial Mediterranean Fever with Rheumatoid Arthritis Complicated by Pulmonary Paragonimiasis.
[So] Source:Intern Med;55(19):2889-2892, 2016.
[Is] ISSN:1349-7235
[Cp] País de publicação:Japan
[La] Idioma:eng
[Ab] Resumo:A 42-year-old woman presented with an intermittent fever and chest and back pain, and an abnormal chest shadow was detected. She was diagnosed with paragonimiasis caused by Paragonimus westermani. Praziquantel therapy improved the abnormal chest shadow, but did not relieve her symptoms. She was also diagnosed with familial Mediterranean fever (FMF), and colchicine therapy resolved her symptoms. She subsequently developed arthralgia and morning stiffness in her hands. We also diagnosed the patient with rheumatoid arthritis (RA), and corticosteroid and salazosulfapyridine therapy improved her symptoms. The existence of paragonimiasis complicated the diagnosis of FMF. The coexistence of FMF and RA is very rare, but does exist.
[Mh] Termos MeSH primário: Artrite Reumatoide/complicações
Febre Familiar do Mediterrâneo/complicações
Febre Familiar do Mediterrâneo/diagnóstico
Paragonimíase/complicações
[Mh] Termos MeSH secundário: Corticosteroides/uso terapêutico
Adulto
Animais
Artrite Reumatoide/tratamento farmacológico
Colchicina/uso terapêutico
Febre Familiar do Mediterrâneo/tratamento farmacológico
Feminino
Seres Humanos
Paragonimíase/tratamento farmacológico
Paragonimus westermani
Praziquantel/uso terapêutico
Sulfassalazina
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Adrenal Cortex Hormones); 3XC8GUZ6CB (Sulfasalazine); 6490C9U457 (Praziquantel); SML2Y3J35T (Colchicine)
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170220
[Lr] Data última revisão:
170220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161012
[St] Status:MEDLINE


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[PMID]:27661049
[Au] Autor:Liu F; Zhang J; Lei C; Wei Y; Li B
[Ad] Endereço:aDepartment of Liver Surgery & Liver Transplantation Center bDepartment of Ultrasound cDepartment of Pathology, West China Hospital of Sichuan University, Chengdu, Sichuan Province, China.
[Ti] Título:Feasibility of laparoscopic major hepatectomy for hepatic paragonimiasis: two case reports.
[So] Source:Medicine (Baltimore);95(38):e4939, 2016 Sep.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Though accumulated evidence proved that laparoscopic major hepatectomy was technically feasible, it remains a challenging procedure and is limited to highly specialized centers. Paragonimiasis is one of the most important food-borne parasitic zoonoses caused by the trematode of the genus Paragonimus. Although hepatic paragonimiasis is rare, the previous studies had investigated hepatic paragonimiasis from different perspectives. However, the safety and feasibility of laparoscopic major hepatectomy for hepatic paragonimiasis have not yet been reported in the literature. METHODS: We here present 2 cases of hepatic paragonimiasis at the deep parts of the liver with treatment by laparoscopic major hepatectomy. One case is a 32-year-old male patient who was admitted to the hospital due to upper abdominal discomfort without fever for 1 month. The clinical imaging revealed that there was a lesion about 5.9 × 3.7 cm in the boundary of right anterior lobe and right posterior lobe of the liver with rim enhancement and tract-like nonenhanced areas. The other one is a 62-year-old female patient who was referred to the hospital for 1 month of right upper abdominal pain and fever. The ultrasonography showed that there was a huge hypoechoic mass (about 10.8 × 6.3 cm) in middle lobe of the liver with tract-like nonenhanced areas. Both patients were from an endemic area of paragonimiasis and the proportion of eosinophil in the second case was increased. RESULTS: The preoperative diagnosis of the first case was ambiguous and the hepatic paragonimiasis was considered for the second case. The first case underwent laparoscopic extended right posterior lobe hepatectomy and the other case underwent laparoscopic extended left hemihepatectomy. Both operations went very well and the operation times for the 2 cases were 275 minutes and 310 minutes, respectively. The 2 patients' postoperative recovery was smooth without major postoperative complications (such as, bleeding, bile leakage, and liver failure). Moreover, the 2 patients were discharged on the 6th day and 7th day after surgery, respectively. The postoperative histopathological examination manifested hepatic paragonimiasis in both patients. CONCLUSION: This study suggests that the laparoscopic approach may be safe and technically feasible for hepatic paragonimiasis.
[Mh] Termos MeSH primário: Hepatectomia/métodos
Laparoscopia/métodos
Hepatopatias Parasitárias/cirurgia
Fígado/cirurgia
Paragonimíase/cirurgia
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Fígado/diagnóstico por imagem
Hepatopatias Parasitárias/diagnóstico
Masculino
Meia-Idade
Paragonimíase/diagnóstico
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170224
[Lr] Data última revisão:
170224
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:160924
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000004939



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