A Pulmonary Paragonimiasis Case Mimicking Metastatic Pulmonary Tumor

作者:Kim Ki Uk; Lee Kwangha; Park Hye Kyung*; Jeong Yeon Joo; Yu Hak Sun; Lee Min Ki
来源:Korean Journal of Parasitology, 2011, 49(1): 69-72.
DOI:10.3347/kjp.2011.49.1.69

摘要

Pulmonary paragonimiasis is a relatively rare cause of lung disease revealing a wide variety of radiologic findings, such as air-space consolidation, nodules, and cysts. We describe here a case of pulmonary paragonimiasis in a 27-year-old woman who presented with a 2-month history of cough and sputum. Based on chest computed tomography (CT) scans and fluorodeoxyglucose positron emission tomography (FDG-PET) findings, the patient was suspected to have a metastatic lung tumor. However, she was diagnosed as having Paragonimus westermani infection by an immunoserological examination using ELISA. Follow-up chest X-ray and CT scans after chemotherapy with praziquantel showed an obvious improvement. There have been several reported cases of pulmonary paragonimiasis mimicking lung tumors on FDG-PET However, all of them were suspected as primary lung tumors. To our knowledge, this patient represents the first case of paragonimiasis mimicking metastatic lung disease on FDG-PET CT imaging.

  • 出版日期2011-3