Document Detail

[Pleural sparganosis: report of a case and review of the literature].
MedLine Citation:
PMID:  25351268     Owner:  NLM     Status:  In-Data-Review    
OBJECTIVE: To improve the understanding of pleural sparganosis by analyzing a clinical case and literature review.
METHODS: The clinical data of a patient with pleural sparganosis diagnosed by immunoserology and pathology was analyzed. The data of 6 cases from literature reports regarding pleural sparganosis were reviewed through database including PubMed, VIP, Wanfang and China Knowledge Resource Integrated Database. The clinical characteristics, diagnosis and treatment of the 7 cases were summarized and analyzed.
RESULTS: A 38-year-old man was admitted to our hospital with right pleural effusion, and received the final diagnosis of pleural sparganosis according to increase of eosinophils in blood and plural effusion, positive sparganum-mansoni antibody in serum, and parasite bodies in pleural tissues biopsied with medical thoracoscopy. The patient was treated successfully with consecutive three-day doses of praziquantel (75 mg×kg(-1)×d(-1)). The documents reported 6 cases of pleural sparganosis on the database of PubMed, Wafang,VIP and China Knowledge Resource Integrated Database. Pleural effusion was found in 5 cases by chest radiograph or CT.Serum sparganum-mansoni antibody assays were strongly positive in 5 cases, and sparganosis bodies were confirmed by pleural histological findings in 3 cases. Two patients received video-assisted thoracic surgery examinations. Six patients recovered with the treatment of praziquantel.
CONCLUSIONS: Pleural sparganosis is a rare disease. Patients with increase of eosinophils in blood and pleural effusion should receive serum sparganum-mansoni antibody test to avoid misdiagnosis of pleural sparganosis. Medical thoracoscopy plays an important role in the diagnosis of pleural sparganosis.
Jinsheng Ouyang; Dongqing Zhang; Yuping Li; Chengshui Chen; Jianmin Li
Publication Detail:
Type:  English Abstract; Journal Article    
Journal Detail:
Title:  Zhonghua jie he he hu xi za zhi = Zhonghua jiehe he huxi zazhi = Chinese journal of tuberculosis and respiratory diseases     Volume:  37     ISSN:  1001-0939     ISO Abbreviation:  Zhonghua Jie He He Hu Xi Za Zhi     Publication Date:  2014 Aug 
Date Detail:
Created Date:  2014-10-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8712226     Medline TA:  Zhonghua Jie He He Hu Xi Za Zhi     Country:  China    
Other Details:
Languages:  chi     Pagination:  601-3     Citation Subset:  IM    
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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