A Case of Double Infection with Paragonimus and Gnathostoma

Abstract

A 28-yearold Chinese woman, who liked to eat raw fish, visited our hospital because of a painful subcutaneous nodule in the left hypogastric region. Diethylcarbamazine citrate was not effective in treating the nodule, and chest effusion and a fever developed. This case is considered to be a possible double infection of Paragonimus and Gnathostoma based on the clinical findings, clinical course, and the serodiagnosis. She was treated with praziquantel in addition to diethylcarbamazine citrate. As a result, she showed a marked improvement in both her clinical condition and laboratory findings. © 2000, Western Division of Japanese Dermatological Association. All rights reserved.