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KMID : 0383820140760040175
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Tuberculosis and Respiratory Diseases
2014 Volume.76 No. 4 p.175 ~ p.178
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A Case of Pleural Paragonimiasis Confused with Tuberculous Pleurisy
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Song Jun-Whi
Hong Goo-Hyeon
Song Jae-Uk
Kim Woo-Youl
Han Seo-Goo
Ko You-Sang
Chang Bok-Soon
Jeong Byeong-Ho
Eom Jung-Seop
Lee Ji-Hyun
Jhun Byung-Woo
Jeon Kyeong-Man
Kim Hong-Kwan
Koh Won-Jung
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Abstract
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Here, we report a case of pleural paragonimiasis that was confused with tuberculous pleurisy. A 38-year-old man complained of a mild febrile sensation and pleuritic chest pain. Radiologic findings showed right pleural effusion with pleural thickening and subpleural consolidation. Adenosine deaminase (ADA) activity in the pleural effusion was elevated (85.3 IU/L), whereas other examinations for tuberculosis were negative. At this time, the patient started empirical anti-tuberculous treatment. Despite 2 months of treatment, the pleural effusion persisted, and video-assisted thoracoscopic surgery was performed. Finally, the patient was diagnosed with pleural paragonimiasis based on the pathologic findings of chronic granulomatous inflammation containing Paragonimus eggs. This case suggested that pleural paragonimiasis should be considered when pleural effusion and elevated ADA levels are observed.
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KEYWORD
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Adenosine Deaminase, Paragonimiasis, Pleural Effusion, Tuberculosis
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