Allergy Asthma Respir Dis.  2020 Jan;8(1):36-39. 10.4168/aard.2020.8.1.36.

Identification of pulmonary paragonimiasis using Ziehl-Neelsen stain

Affiliations
  • 1Department of Medicine, Gwangmyeong Sungae Hospital, Gwangmyeong, Korea. us2001wj@naver.com
  • 2Department of Laboratory Medicine, Gwangmyeong Sungae Hospital, Gwangmyeong, Korea.
  • 3Department of Radiology, Gwangmyeong Sungae Hospital, Gwangmyeong, Korea.

Abstract

Pulmonary paragonimiasis and tuberculosis are endemic in Asia, South America, and Africa. However, differential diagnosis among the diseases is difficult because they present with similar clinical symptoms and diagnostic features. Here, we report a case of pulmonary paragonimiasis that was identified using Ziehl-Neelsen stain after initially being assessed for pulmonary tuberculosis. Following anti-Paragonimus chemotherapy, the patient's symptoms, laboratory test results, and lung lesions improved. Thus, the identification of Paragonimus westermani using Ziehl-Neelsen stain can be considered in the diagnosis.

Keyword

Pulmonary paragonimiasis; Pulmonary tuberculosis; Ziehl-Neelsen stain
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