A Case of Pleural Paragonimiasis Confused with Tuberculous Pleurisy.
10.4046/trd.2014.76.4.175
- Author:
Junwhi SONG
1
;
Goohyeon HONG
;
Jae Uk SONG
;
Wooyoul KIM
;
Seo Goo HAN
;
Yousang KO
;
Boksoon CHANG
;
Byeong Ho JEONG
;
Jung Seop EOM
;
Ji Hyun LEE
;
Byung Woo JHUN
;
Kyeongman JEON
;
Hong Kwan KIM
;
Won Jung KOH
Author Information
1. Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. wjkoh@skku.edu
- Publication Type:Case Report
- Keywords:
Adenosine Deaminase;
Paragonimiasis;
Pleural Effusion;
Tuberculosis
- MeSH:
Adenosine Deaminase;
Adult;
Chest Pain;
Eggs;
Humans;
Inflammation;
Ovum;
Paragonimiasis*;
Paragonimus;
Pleural Effusion;
Sensation;
Thoracic Surgery, Video-Assisted;
Tuberculosis;
Tuberculosis, Pleural*
- From:Tuberculosis and Respiratory Diseases
2014;76(4):175-178
- CountryRepublic of Korea
- Language:English
-
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.
