Full Text of PDF (605k)
Article in Japanese
Abstract
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
Copyright © The Japanese Respiratory Society All Rights Reserved.