Korean J Med.  2011 Oct;81(4):502-507.

A Case of Pleuropulmonary Paragonimiasis with a Breast Abscess as the Ectopic Site

Affiliations
  • 1Department of Internal Medicine, The Catholic University of Korea School of Medicine, Seoul, Korea.
  • 2Department of Internal Medicine, Cheongju St. Mary's Hospital, Cheongju, Korea. drygp73@gmail.com
  • 3Department of Internal Medicine, Chungbuk National University College of Medicine, Cheongju, Korea.
  • 4Department of General Surgery, Cheongju St. Mary''s Hospital, Cheongju, Korea.

Abstract

Paragonimiasis is an infectious disease caused by consumption of raw or improperly cooked freshwater crab or crayfish contaminated with Paragonimus metacercariae. The incidence of the disease has markedly decreased, but it is still a lung disease that requires a differential diagnosis in endemic areas such as Korea and Japan. It is commonly found in the lung but has also been found as extrapulmonary infestations, such as cerebral, spinal, subcutaneous, abdominal, urinary, and gynecological infestations. We report a rare case of ectopic paragonimiasis involving the breast with pleural effusion that was initially misdiagnosed as tuberculous pleurisy and a breast abscess.

Keyword

Paragonimiasis; Breast

MeSH Terms

Abscess
Astacoidea
Breast
Communicable Diseases
Diagnosis, Differential
Fresh Water
Incidence
Japan
Korea
Lung
Lung Diseases
Metacercariae
Paragonimiasis
Paragonimus
Pleural Effusion
Tuberculosis, Pleural
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