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KMID : 0376419790030000307
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Chonbuk University Medical Journal
1979 Volume.3 No. 0 p.307 ~ p.310
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A case report of pulmonary paragonimiasis combined with exudative pleurisy and cerebral paragonimiasis
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Abstract
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Authors report a case of pulmonary paragonimiasis combined with exudative pleurisy and cerebral paragonimiasis for the first time in Korea.
This case a very rare disease characterised by one side motor and sensory paralysis, exudative pleurisy and pulmonary infiltration by paragonimus westermani.
The patient was 49 years old man who entered to Jeonbug national university hospital with the chief complaints of much cough and dyspnea associated with complete motor and sensory paralysis of the left half body.
Chest-X-ray showed both lower lobe infiltration with moderate effusion in the right side chest. Routine labolatory examrr inations including CBC, urine, AFB and parago ova in the sputum, skim test on parago antigen and chemical examminations of blood, pleural fluid and cerebrospinal fluid´ were performed and showed values within normal limits except for eosinophilia in peripheral blood and pleural fluid, and positive findings in parago skin test. In repeated exammination of sputum for paragonimus westermani and tuberculous bacilli, numerous ova of paragonimus westemani were found. Pleural biopsy was done and the section disclosed diffuse fibrosis and chronic inflammatory cell infiltration.
Cerebral angiography and simple skull X-ray ere within normal limits.
Almost complete recovery of motor and sensory paralysis of extremity, exudative pleural effusion and pummonary infiltration by only Bithionol administration had gained on 50th hospital day.
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KEYWORD
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