ArticleBMC infectious diseases2019
Retrospective study of pleural parasitic infestations: a practical diagnostic approach.
Article in BMC infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 15 citations in OpenAlex.
- First case report of isolated pleural cysticercosis demonstrating pleuroscopic findings.Respiratory medicine case reports · 2025Article
- Dirofilariasis presenting as pleural effusion: a rare case report with unusual manifestations and treatment modalities.BMC pulmonary medicine · 2024Article
- Pleural effusion caused by Trichinella spiralis infection: two case reports.BMC infectious diseases · 2023Article
- Pneumothorax with Eosinophilia is an Important Diagnostic Clue for Distinguishing Paragonimiasis from Chronic Eosinophilic Pneumonia: A Case Report.Infection and drug resistance · 2023Article
- Incidence, aetiology and clinical features of eosinophilic pleural effusion: a retrospective study.BMC pulmonary medicine · 2021Article
- Eosinophilic pleural effusion as a manifestation of taeniasis.Autopsy & case reports · 2020Article
- A multidisciplinary approach for the diagnosis of benign asbestos pleural effusion: a single-center experience.Journal of thoracic disease · 2020Article
- Diagnostic procedure for idiopathic eosinophilic pleural effusion: a single-center experience.BMC pulmonary medicine · 2020Article
- Valproic acid-induced eosinophilic pleural effusion: An uncommon occurrence.Lung India : official organ of Indian Chest SocietyArticle
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPleural parasitic infestation (PPI) is a disease prevalent in certain parts of the world. It is frequently misdiagnosed due to its lack of standardized diagnostic criteria. The purpose of this study was to evaluate the clinical characteristics of PPI patients and develop a practical diagnostic approach for PPI.
methodsA retrospective study was conducted by reviewing the medical records of 11 patients with PPI. A practical diagnostic approach was proposed based on the unique laboratory findings.
resultsAll patients demonstrated respiratory symptoms, including shortness of breath, cough, fever, chest pain, excessive sputum and hemoptysis. Leukocytosis (> 10,000/μL) and eosinophilia (> 500/μL) of peripheral blood were present in 45.5 and 36.4% patients, respectively. The mean concentrations of pleural effusion lactate dehydrogenase (LDH), adenosine deaminase (ADA), protein and carcinoembryonic antigen (CEA) were 338.2 U/L (range, 61-667 U/L), 11.6 U/L (range, 0.1-28.2 U/L), 43.7 g/dL (range, 21.9-88.1 g/dL), and 1.84 mg/mL (range, 0.28-4.8 mg/mL), respectively. The mean percentage of eosinophils in the pleural effusion was 19.5% (10.5-41%). Blood test was positive for parasite-specific IgG antibody in 9 patients, including 4 for Paragonimus westermani, 3 for Taenia solium, 1 for Clonorchis sinensis and 1 for Echinococcus granulosus. Eggs of Clonorchis sinensis were detected in the stool of two patients. Sparganum was found in the pleural effusion of one patient. Respiratory symptoms and abnormal appearances in pulmonary radiographic examination were disappeared in all patients who received anti-parasitic treatment.
conclusionsIn patients with unexplained pleural effusion, parasite-specific IgG antibody tests should be performed when pleural fluid testing shows eosinophilic pleural effusion. It is preferable to consider the diagnosis of PPI in clinical practice when serum parasite-specific IgG antibody test is positive.
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