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日本呼吸器学会英文誌 Respiratory Investigation
日本呼吸器学会誌 増刊号 学術講演会プログラム 抄録集

Abstract

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Article in Japanese

Case Report

A case of Paragonimus westermani infection in a Chinese immigrant

Hideki Matsuia  Noriko Takedaa  Kazuhisa Asaib 

aDepartment of Respiratory Medicine, Higashisumiyoshi Morimoto Hospital
bDepartment of Respiratory Medicine, Osaka City University Graduate School and Faculty of Medicine

ABSTRACT

A 26-year-old Chinese man was referred to our hospital having had cough and hemoptysis for two months. He had a history of right pneumothorax and bilateral pleural effusion two years prior to presentation. A chest computed tomography (CT) scan revealed multiple pulmonary nodules with cavities mimicking pulmonary tuberculosis. Paragonimus westermani infection was diagnosed from identification of P. westermani ova in bronchial lavage fluid. Detailed history-taking revealed the ingestion of raw freshwater crabs before his right pneumothorax episode. He was treated with praziquantel, with rapid resolution of symptoms and nodules on chest CT.
Since immigrant patients to Japan are increasing, it is important to pay attention to infectious disease resulting from different eating habits.

KEYWORDS

Paragonimus westermani infection  Paragonimiasis  Eating habits 

Received 10 Feb 2019 / Accepted 12 Jun 2019

AJRS, 8(5): 327-331, 2019

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