A case of systemic paragonimiasis with ovarian involvement

The authors reported a case of ectopic paragonimiasis in a 40 year old Korean housewife who came to the hospital because of abdominal mass and pain. She was proved to have multiple parasitic granulomas involving lung, uterus, uterine tube and subcutaneous tissue. The ovary was also the site of parasitism. The past history revealed an episode of ingestion of fresh water crabs soaked in soybean sauce which were obtained in a market of Seoul City 2 years prior to the present illness. The patient was treated for tuberculosis for a year without confirmation of etiologic agent. After surgical removal of all abdominal and most of pelvic granulomas, the patient was treated with praziquantel 25 mg/kg t.i.d. for 3 days, and was judged to be cured after 4 months.