Clinical and imaging features of thirty cases of paragonimiasis westermani
10.16250/j.32.1374.2017244
- VernacularTitle:30例卫氏并殖吸虫病患者临床及影像学特征
- Author:
Li-Ping SHENG
1
;
Xian-Bing KONG
2
;
You-Song DENG
1
;
Jing-Bo WANG
1
;
Xiao-Kai BI
1
;
Cheng LI
1
Author Information
1. Department of General and Thoracic Surgery, First People’s Hospital of Liangjiang New District of Chongqing City, Chongqing 401121, China
2. Department of Hepatological Surgery, First Affiliated Hospital of Chongqing Medical University, China
- Publication Type:Journal Article
- Keywords:
Paragonimiasis westermani;
Imaging feature;
Clinical feature
- From:
Chinese Journal of Schistosomiasis Control
2019;31(2):200-203
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the clinical manifestations and imaging characteristics of pulmonary and extra pulmonary paragonimiasis westermani. Methods A retrospective analysis was performed of 30 patients diagnosed by clinical features, laboratory serological tests and surgical pathology. Results The symptoms of the lung included mainly chest distress, fever, chest pain, cough and expectoration, and dyspnea. The extra pulmonary symptoms included abdominal pain, vomiting, diarrhea, poor appetite, emaciation, both lower extremities asthenia, headache, dizziness, epileptic seizures, and subcutaneous migratory masses. The laboratory examination showed that the eosinophil numbers of serum and pleural effusion of all the thirty patients were increased, and the eggs of Paragonimus westermani were found by the stool tests in four cases. The chest CT tests found abnormal nodules, ground glass changes, insect damages, pleural effusion, "tunnel" signs, and "halo" signs. Cranial CT and MRI showed intracranial hemorrhage foci, and extensive "finger-like" edema. Abdominal CT showed serpentine deformation and “tunnel” signs in the hepatic and spleen capsules. Conclusions Paragonimiasis westermani is a multiple organ system involved infection, and it has complex and varied clinical manifestations. The "tunnel" sign and serpentine deformations in the intracranial part, lung, liver and spleen are important imaging manifestations of the disease.
