Tuberc Respir Dis.  2007 Nov;63(5):440-443. 10.4046/trd.2007.63.5.440.

A Case of Pulmonary Paragonimiasis Mimicking Pulmonary Tuberculosis

• Kim HS
• Ko YS
• Kwak HJ
• Lee HK
• Kim SH
• Kim TH
• Sohn JW
• Yoon HJ
• Shin DH
• Park SS

• KMID: 2050478
• DOI: http://doi.org/10.4046/trd.2007.63.5.440

Abstract

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. As the clinical and radiological features as well as the laboratory findings are similar to that of pulmonary tuberculosis, the differential diagnosis of pulmonary paragonimiasis is very difficult. We experienced a case of a patient with pulmonary paragonimiasis who was treated as having pulmonary tuberculosis.

Keyword

Paragonimiasis; Tuberculosis

MeSH Terms

Astacoidea
Diagnosis, Differential
Eating
Fresh Water
Humans
Paragonimiasis*
Prevalence
Tuberculosis
Tuberculosis, Pulmonary*

Figure

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  Figure 1 (A) On admission, chest radiography shows multiple nodular lesion at left upper lobe. (B) High resolution computed tomography of the chest shows cystic lesions and ground grass opacities at left upper lobe.

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  Figure 2 (A) 6 months after anti-TB medication. The chest radiography reveals aggravation of multiple nodues at left upper lobe. (B) High resolution computed tomography shows newly developed consolidation at left upper lobe.

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  Figure 3 8 months after anti-TB medication. Chest PA and lateral radiography shows newly developed pleural effusion at left hemithorax.

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  Figure 4 1 month after praziquantel medication for paragonimiasis. (A) Chest radiography shows improvement of nodular lesion at left upper lobe. (B) High resolution computed tomography shows improvement of cystic lesions and consolidation.

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