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A Case of Sparganosis That Presented as a Recurrent Pericardial Effusion

Sparganosis is caused by a larval tapeworm of the genus Spirometra, which commonly invades subcutaneous tissue, but less frequently invades muscle, intestines, spinal cord, and the peritoneopleural cavity. The authors managed a female patient who presented with a recurrent pericardiopleural effusion...

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Autores principales: Lee, Ju-Hee, Kim, Gi-Hyun, Kim, Sang Min, Lee, Sang Yeub, Lee, Won-Yik, Bae, Jang-Whan, Shin, Kyung-Sub, Hwang, Kyung-Kuk, Kim, Dong-Won, Cho, Myeong-Chan
Formato: Texto
Lenguaje:English
Publicado: The Korean Society of Cardiology 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3040402/
https://www.ncbi.nlm.nih.gov/pubmed/21359068
http://dx.doi.org/10.4070/kcj.2011.41.1.38
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author Lee, Ju-Hee
Kim, Gi-Hyun
Kim, Sang Min
Lee, Sang Yeub
Lee, Won-Yik
Bae, Jang-Whan
Shin, Kyung-Sub
Hwang, Kyung-Kuk
Kim, Dong-Won
Cho, Myeong-Chan
author_facet Lee, Ju-Hee
Kim, Gi-Hyun
Kim, Sang Min
Lee, Sang Yeub
Lee, Won-Yik
Bae, Jang-Whan
Shin, Kyung-Sub
Hwang, Kyung-Kuk
Kim, Dong-Won
Cho, Myeong-Chan
author_sort Lee, Ju-Hee
collection PubMed
description Sparganosis is caused by a larval tapeworm of the genus Spirometra, which commonly invades subcutaneous tissue, but less frequently invades muscle, intestines, spinal cord, and the peritoneopleural cavity. The authors managed a female patient who presented with a recurrent pericardiopleural effusion and peripheral eosinophilia. The anti-sparganum-specific IgG serum level was significantly higher than normal control levels. In this patient, sparganosis was caused by the ingestion of raw frogs in an effort to control her thyroid disease. The recurrent pericardiopleural effusion and peripheral eosinophilia were controlled by 3 consecutive doses of praziquantel (75 mg/kg/day). The patient is doing well 4 years after presentation. Sparganosis should be considered a rare, but possible cause of recurrent pericardial effusion and peripheral eosinophilia. Immunoserologic testing using enzyme linked immunosorbent assays can be helpful in diagnosing human sparganosis, especially in cases without a subcutaneous lump or mass. Praziquantel is an alternative treatment for sparganosis in surgically-unresectable cases.
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spelling pubmed-30404022011-02-25 A Case of Sparganosis That Presented as a Recurrent Pericardial Effusion Lee, Ju-Hee Kim, Gi-Hyun Kim, Sang Min Lee, Sang Yeub Lee, Won-Yik Bae, Jang-Whan Shin, Kyung-Sub Hwang, Kyung-Kuk Kim, Dong-Won Cho, Myeong-Chan Korean Circ J Case Report Sparganosis is caused by a larval tapeworm of the genus Spirometra, which commonly invades subcutaneous tissue, but less frequently invades muscle, intestines, spinal cord, and the peritoneopleural cavity. The authors managed a female patient who presented with a recurrent pericardiopleural effusion and peripheral eosinophilia. The anti-sparganum-specific IgG serum level was significantly higher than normal control levels. In this patient, sparganosis was caused by the ingestion of raw frogs in an effort to control her thyroid disease. The recurrent pericardiopleural effusion and peripheral eosinophilia were controlled by 3 consecutive doses of praziquantel (75 mg/kg/day). The patient is doing well 4 years after presentation. Sparganosis should be considered a rare, but possible cause of recurrent pericardial effusion and peripheral eosinophilia. Immunoserologic testing using enzyme linked immunosorbent assays can be helpful in diagnosing human sparganosis, especially in cases without a subcutaneous lump or mass. Praziquantel is an alternative treatment for sparganosis in surgically-unresectable cases. The Korean Society of Cardiology 2011-01 2011-01-31 /pmc/articles/PMC3040402/ /pubmed/21359068 http://dx.doi.org/10.4070/kcj.2011.41.1.38 Text en Copyright © 2011 The Korean Society of Cardiology http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Lee, Ju-Hee
Kim, Gi-Hyun
Kim, Sang Min
Lee, Sang Yeub
Lee, Won-Yik
Bae, Jang-Whan
Shin, Kyung-Sub
Hwang, Kyung-Kuk
Kim, Dong-Won
Cho, Myeong-Chan
A Case of Sparganosis That Presented as a Recurrent Pericardial Effusion
title A Case of Sparganosis That Presented as a Recurrent Pericardial Effusion
title_full A Case of Sparganosis That Presented as a Recurrent Pericardial Effusion
title_fullStr A Case of Sparganosis That Presented as a Recurrent Pericardial Effusion
title_full_unstemmed A Case of Sparganosis That Presented as a Recurrent Pericardial Effusion
title_short A Case of Sparganosis That Presented as a Recurrent Pericardial Effusion
title_sort case of sparganosis that presented as a recurrent pericardial effusion
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3040402/
https://www.ncbi.nlm.nih.gov/pubmed/21359068
http://dx.doi.org/10.4070/kcj.2011.41.1.38
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