Paragonimiasis is a helminthic disease that affect accidentally man after consumption of raw or poorly cooked crustacean dishes. The clinical feature is represented mainly by pulmonary signs. Extra-pulmonary manifestations including arthritic and skin attempt remain less frequent. The case is described of a young white French woman who become infected with Paragonimus while travelling to Gabon for a tourist trip. Clinical presentation accounted for extensive recurrent pruritic urticarian subcutaneous induration, permanent assymetrical pauciarthritis associated with joint swelling, and marked eosinophilia. Diagnosis was reached using serological testing showing seroconversion for specific antibodies. The patient was cured with a single oral dose of praziquantel. Even if the condition is rare among tourists to endemic zones, it must be considered when hypereosinophilia occurs in the returning traveller and migrant.

译文

:肺吸虫病是一种蠕虫病,在食用生的或煮熟的甲壳类菜肴后,意外地影响了人。临床特征主要表现为肺部症状。包括关节炎和皮肤尝试在内的肺外表现仍然较少见。该病例描述了一位年轻的法国白人妇女,她在前往加蓬进行旅游时被帕拉基米乌斯感染。临床表现为广泛的复发性瘙痒性荨麻疹皮下硬结,伴有关节肿胀的永久性不对称性睑缘炎和明显的嗜酸性粒细胞增多。使用显示特定抗体血清转化的血清学检测方法进行诊断。口服吡喹酮治愈了病人。即使在流行地区的游客中这种情况很少见,回返的旅行者和移民中发生嗜酸性粒细胞增多症时也必须加以考虑。

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