• Internal medicine · Jan 2016

    Case Reports

    Pulmonary Paragonimiasis: The Detection of a Worm Migration Track as a Diagnostic Clue for Uncertain Eosinophilic Pleural Effusion.

    • Tomohiro Akaba, Kiyoshi Takeyama, Midori Toriyama, Ayako Kubo, Rie Mizobuchi, Takeshi Yamada, Etsuko Tagaya, Mitsuko Kondo, Shuji Sakai, and Jun Tamaoki.
    • The First Department of Medicine, Tokyo Women's Medical University, Japan.
    • Intern. Med. 2016 Jan 1; 55 (5): 503-6.

    AbstractA 38-year-old woman with sustained right chest pain was referred to our hospital. She showed pleural effusion and peripheral blood eosinophilia. Thoracentesis revealed eosinophilic pleural effusion in which the smear, culture and cytological examinations were all negative. Although she had no notable dietary history, chest CT revealed linear opacities, which suggested the migration tracks of paragonimiasis. The diagnosis was confirmed using enzyme-linked immunosorbent assays, which showed elevated Paragonimus westermani and Paragonimus miyazakii antibody levels. After the initiation of praziquantel therapy, all clinical findings were promptly improved. The detection of a migration track may therefore be useful in the diagnosis of paragonimiasis.

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