폐암으로 생각되었던 폐 흡충증 1예
A Case of Paragonimiasis Suspected Lung Cancer
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
A paragonimiasis infestation is caused by the paragonimus species. Paragonimiasis mainly occurs by ingestion of raw or undercooked freshwater crabs or crayfish. In our country, the prevalence of paragonimiasis was high until late 1960s due to eating habits, but after the 1970s the prevalence of the disease has markedly decreased and now the disease is rarely seen. The diagnosis of tuberculosis by Chest X-ray is often confused with pulmonary carcinoma, bacillary and parasitic infections, and chronic mycosis. Pulmonary paragonimiasis must be considered in the differential diagnosis of lung cancer especially in the appropriate clinical setting because effective treatment with praziquantel can be rewarding. We report a case of a 58-year-old woman with pulmonary paragonimiasis that was suspicious for lung cancer, as detected by biopsy.
Abstract
A paragonimiasis infestation is caused by the paragonimus species. Paragonimiasis mainly occurs by ingestion of raw or undercooked freshwater crabs or crayfish. In our country, the prevalence of paragonimiasis was high until late 1960s due to eating habits, but after the 1970s the prevalence of the disease has markedly decreased and now the disease is rarely seen. The diagnosis of tuberculosis by Chest X-ray is often confused with pulmonary carcinoma, bacillary and parasitic infections, and chronic mycosis. Pulmonary paragonimiasis must be considered in the differential diagnosis of lung cancer especially in the appropriate clinical setting because effective treatment with praziquantel can be rewarding. We report a case of a 58-year-old woman with pulmonary paragonimiasis that was suspicious for lung cancer, as detected by biopsy.
참고문헌 (10)
- Kim DC, "Paragonimus westermani: life cycle, intermediate hosts, transmission to man and geographical distribution in Korea", Arzneimit telforschung, 34(9B), pp.1180~1183 (1984)
- Sadun EH, "Paragonimiasis in South Korea: immunodiagnostic, epidemiologic, clinical, roentgenologic and therapeutic studies", Am J Trop Med Hyg, 9, pp.562~599 (1960)
- Choi DW, "Paragonimus and paragonimiasis in Korea", Korean J Parasitol, 28s, pp.79~102 (1990)
- Ministry of Health & Welfare, "7th national survey of the prevalence of intestinal parasitic infection in Korea", Ministry of Health & Welfare, ~ (2005)
- Im JG, "Pleuropulmonary paragonimiasis:radiologic findings in 71 patients", AJR Am J Roentgenol, 159(1), pp.39~43 (1992)
- Croft DR, "FDG-PET imaging and the diagnosis of non-small cell lung cancer in a region of high histoplasmosis prevalence", Lung Cancer, 36(3), pp.297~301 (2002)
- Yu YK, "A case of the solitary pulmonary nodule diagnosed as pulmonary paragonimiasis", Chonnam Med J, 37, pp.185~188 (2001)
- Kim TS, "Pleuropulmonary paragonimiasis:CT findings in 31 patients", AJR Am J Roentgenol, 185(3), pp.616~621 (2005)
- Choi JW, "Clinical study of pulmonary paragonimiasis", Tuberc Respir Dis, 40, pp.274~282 (1993)
- Jeon K, "Clinical features of recently diagnosed pulmonary paragonimiasis in Korea", Chest, 1423(30), pp.~1430 (2005)