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KMID : 0383820080640020133
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Tuberculosis and Respiratory Diseases
2008 Volume.64 No. 2 p.133 ~ p.137
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A Case of Pulmonary Paragonimiasis Presented as Solitary Pulmonary Nodule and Suspected as Lung Cancer on 18F-Fluorodeoxyglucose Positron Emission Tomography
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Moon Jae-Young
Jung Ki-Hwan
Kim Je-Hyeong
Park Hyung-Joo
Kim Young-Sik
Shin Chol
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Abstract
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Pulmonary paragonimiasis continues to be a diagnostically challenging parasitic disease, despite a drastically decreased prevalence in South Korea during the past decade. Pulmonary paragonimiasis is characterized by fever, chest pain, and chronic cough with hemoptysis. Numerous radiographic and computed tomographic findings including the presence of pneumothorax, pleural effusion, and parenchymal lesions such as nodular or infiltrative opacities have been reported. The clinical and radiological manifestations of paragonimiasis can resemble those of lung cancer, tuberculosis or a metastatic malignancy. Furthermore, this disease can mimic lung cancer as seen on 18F-fluorodeoxyglucose positron emission tomography (FDG-PET). We report a case of pulmonary paragonimiasis in a 48-year old man that presented with a solitary pulmonary nodule and was suspected as a lung cancer based on FDG-PET imaging. (Tuberc Respir Dis 2008;64:133-137)
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KEYWORD
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Pulmonary paragonimiasis, Solitary pulmonary nodule, Positron emission tomography
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