Pleuropulmonary Paragonimiasis with Multiple Nodules in the Pleura

An asymptomatic 47-year-old woman was admitted with pleural effusion and pulmonary infiltrates 1 month after ingesting raw wild boar and deer meat. Both her blood and pleural fluid were eosinophilic. Thoracoscopy revealed multiple nodules of the pleura, and biopsy samples of the nodules showed necro...

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Detalles Bibliográficos
Autores principales: Ogata, Hiroaki, Harada, Eiji, Moriya, Soichiro, Fukuyama, Satoru, Suzuki, Kunihiro, Shiraishi, Yoshimasa, Ando, Hiroyuki, Uryu, Kazuyasu, Shinozaki, Seiji, Ide, Maako, Sakamoto, Aiko, Nakanishi, Takayuki, Hamada, Naoki, Yoneshima, Yasuto, Ota, Keiichi, Kohashi, Kenichi, Tateishi, Yuki, Miyashita, Yu, Oda, Yoshinao, Matsumoto, Koichiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7474994/
https://www.ncbi.nlm.nih.gov/pubmed/32350198
http://dx.doi.org/10.2169/internalmedicine.4457-20
Descripción
Sumario:An asymptomatic 47-year-old woman was admitted with pleural effusion and pulmonary infiltrates 1 month after ingesting raw wild boar and deer meat. Both her blood and pleural fluid were eosinophilic. Thoracoscopy revealed multiple nodules of the pleura, and biopsy samples of the nodules showed necrosis with epithelioid cell granulomas. An enzyme-linked immunosorbent assay was positive for antibodies against Paragonimus westermani, and the patient was successfully treated with praziquantel. This is the first reported case of pulmonary or pleuropulmonary paragonimiasis where several pleural nodules were observed. The detection of pleural nodules on thoracoscopy can contribute to the prompt and accurate diagnosis of paragonimiasis.

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