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폐결핵으로 오인한 폐흡충증 1례

A Case of Pulmonary Paragonimiasis Could Be Misunderstood to Pulmonary Tuberculosis - Case Report -

건양의대학술지 2004년 4권 2호 p.198 ~ 200
정인범, 손지웅, 나문준, 최유진, 조영준, 이원영,
소속 상세정보
정인범 ( Jung In-Bum ) - 건양대학교 의과대학 내과학교실
손지웅 ( Son Ji-Woong ) - 건양대학교 의과대학 내과학교실
나문준 ( Na Moon-Jun ) - 건양대학교 의과대학 내과학교실
최유진 ( Choi Eu-Gene ) - 건양대학교 의과대학 내과학교실
조영준 ( Cho Young-Jun ) - 건양대학교 의과대학 영상의학교실
이원영 ( Lee Won-Young ) - 건양대학교 의과대학 내과학교실

Abstract


The diagnosis of tuberculosis by X-ray radiogram is often confused with pulmonary carcinoma, bacillary and parasitic infections, and chronic mycosis. A case of pulmonary paragonimiasis misdiagnosed as tuberculosis by clinical history and X-ray radiogram is reported. A 48-year-old female was admitted to a hospital with chief complaints of hemoptysis and mild feve. She had denied of consume crabs before. On admission, a nodular shadow in the left upper lung on the chest X-ray and multiple small nodules and tunnel like shadow was detected in the lung on CT. Peripheral blood examination was not disclosed eosinophilia (5,300/mm3). Although we failed to detect any parasite eggs in stool, microscopic sputum exammination revealed an infection of paragonimus. Oral administration of praziquantel resulted in the disappearance of symptoms. With this case, the smears of sputum were checked by an inspection technician’s discernment, and Paragonimus eggs along with numerous eosinophils and Charcot-Leyden crystals were detected. In suspected cases of tuberculosis, a history of crab-eating plus sputum examinations, image findings, and serodiagnosis are necessary to rule out paragonimiasis.

키워드

Paragonimiasis

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