A Case of Pleural Paragonimiasis Confused with Tuberculous Pleurisy
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¼ÛÁØÈÖ(Song Jun-Whi) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Medicine
È«±¸Çö(Hong Goo-Hyeon) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Medicine
¼ÛÀç¿í(Song Jae-Uk) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Medicine
±è¿ì¿(Kim Woo-Youl) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Medicine
ÇѼ±¸(Han Seo-Goo) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Medicine
°íÀ¯»ó(Ko You-Sang) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Medicine
À庹¼ø(Chang Bok-Soon) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Medicine
Á¤º´È£(Jeong Byeong-Ho) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Medicine
¾öÁß¼·(Eom Jung-Seop) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Medicine
ÀÌÁöÇö(Lee Ji-Hyun) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Medicine
Àüº´¿ì(Jhun Byung-Woo) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Medicine
Àü°æ¸¸(Jeon Kyeong-Man) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Medicine
±èÈ«°ü(Kim Hong-Kwan) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Thoracic Surgery
°í¿øÁß(Koh Won-Jung) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Medicine
Abstract
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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Adenosine Deaminase, Paragonimiasis, Pleural Effusion, Tuberculosis
KMID :
0383820140760040175
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