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小儿肺吸虫病误诊误治一例报告分析A Case Analysis Report of Misdiagnosis and Mistreatment of Pediatric Paragonimiasis Disease
小儿肺吸虫病, 误诊误治, 治疗及预防Infantile Paragonimiasis; Misdiagnosis and Mistreatment; Treatment and Prevention
《Asian Case Reports in Pediatrics》, Vol.1 No.2, 2013-05-20
Objective: To understand the characteristics of children with paragonimus disease, to explore the main causes of misdiagnosis and mistreatment of children with paragonimus disease and prevention measures for the disease. Method: Through the analysis of 1 case of stubborn paragonimiasis case, summed up the main reason of misdiagnosis and mistreatment of the disease. Result: Children with recurrent fever, considering lobar pneumonia complicated with pleural effusion, has always given anti-infection treatment, but the effect is poor. After repeated questioning of history, and combined with the results of laboratory examinations, the diagnosis was confirmed. Conclusion: Analysis of the primary causes to the misdiagnosis cases: admission did not ask about eating raw crab history; no special attention to increased eosinophils; the changes of pulmonary inflammatory that imaging examination showed are not specific; the symptoms improved after anti-infection treatment, which misleading clinical judgment; the relative lack of understanding and vigilance of the medical staff of paragonimiasis.