KMID : 0425120110490010069
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Parasites, Hosts and Diseases 2011 Volume.49 No. 1 p.69 ~ p.72
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A Pulmonary Paragonimiasis Case Mimicking Metastatic Pulmonary Tumor
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Kim Ki-Uk
Lee Kwang-Ha Park Hye-Kyung Jeong Yeon-Joo Yu Hak-Sun Lee Min-Ki
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Abstract
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Pulmonary paragonimiasis is a relatively rare cause of lung disease revealing a wide variety of radiologic findings, such as air-space consolidation, nodules, and cysts. We describe here a case of pulmonary paragonimiasis in a 27-year-old woman who presented with a 2-month history of cough and sputum. Based on chest computed tomography (CT) scans and fluorodeoxyglucose positron emission tomography (FDG-PET) findings, the patient was suspected to have a metastatic lung tumor. However, she was diagnosed as having Paragonimus westermani infection by an immunoserological examination using ELISA. Follow-up chest X-ray and CT scans after chemotherapy with praziquantel showed an obvious improvement. There have been several reported cases of pulmonary paragonimiasis mimicking lung tumors on FDG-PET. However, all of them were suspected as primary lung tumors. To our knowledge, this patient represents the first case of paragonimiasis mimicking metastatic lung disease on FDG-PET CT imaging.
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KEYWORD
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Paragonimus westermani, paragonimiasis, positron emission tomography, tumor, metastasis
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