A Case of Pleural Paragonimiasis Confused with Tuberculous Pleurisy

Tuberculosis and Respiratory Diseases

article

Junwhi Song¹  Goohyeon Hong¹  Jae-Uk Song¹  Wooyoul Kim¹  Seo Goo Han¹  Yousang Ko¹  Boksoon Chang¹  Byeong-Ho Jeong¹  Jung Seop Eom¹  Ji Hyun Lee¹  Byung Woo Jhun¹  Kyeongman Jeon¹  Hong Kwan Kim²  Won-Jung Koh¹ 

[1] Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine;Department of Thoracic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine

关键词: Adenosine Deaminase;    Paragonimiasis;    Pleural Effusion;    Tuberculosis;   

DOI  :  10.4046/trd.2014.76.4.175

学科分类：医学（综合）

来源: The Korean Academy of Tuberculosis and Respiratory Diseases

【 摘 要 】

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.

【 授权许可】

CC BY-NC