Hemorrhagic eosinophilic pericardial effusion associated with probable sparganosis.
Yuanting Zhu, Dekai Wang, Yang Wu et al.
✦ AI-curated · Sources linked
Case in brief
A 25-year-old man developed hemorrhagic eosinophilic pericardial effusion after consuming undercooked frog meat. Diagnostic workup revealed peripheral eosinophilia and eosinophils in the pericardial fluid, with elevated immunoglobulin E suggesting a helminthic infection. Testing confirmed reactivity to Spirometra mansoni. Treatment included pericardiocentesis and antiparasitic therapy, leading to resolution of symptoms and normalization of eosinophilia.
What made this case unusual
This case illustrates a rare association between sparganosis and eosinophilic hemorrhagic pericardial effusion, expanding the understanding of serosal involvement in this infection.
Diagnostic / clinical pearl
Clinicians should consider sparganosis in cases of eosinophilic pericardial effusion, especially following the consumption of undercooked amphibians.
Why it matters
Recognizing this association can prevent unnecessary investigations and facilitate timely management of a potentially serious condition.