Pulmonary paragonimiasis presenting as massive empyema requiring decortication in an adolescent: a case report

Due to recent improvements in sanitation, cases of pulmonary paragonimiasis in the pediatric population progressing to surgical decortication are extremely rare. This case highlights the importance of considering parasitic infections in children with cavitary lung lesions, particularly in endemic regions. Despite significant reductions in the prevalence of paragonimiasis, clinicians must remain vigilant, especially in patients with a history of consuming freshwater crustaceans. Effective treatment with praziquantel and, in severe cases, surgical decortication can lead to successful outcomes.