title: Pulmonary paragonimiasis misdiagnosed as tuberculosis: with special references on paragonimiasis.
abstract: The diagnosis of tuberculosis by X-ray radiogram is often confused with pulmonary carcinoma, bacillary and parasitic infections, and chronic mycosis. A case of pulmonary paragonimiasis misdiagnosed as tuberculosis by X-ray radiogram is reported. With this case, the smears of sputum were rechecked by an inspection technician's discernment, and Paragonimus eggs along with numerous eosinophils and Charcot-Leyden crystals were detected. In suspected cases of tuberculosis, a history of crab-eating plus sputum examinations, image findings, and serodiagnosis are necessary to rule out paragonimiasis.
authors.affiliation: Department of Infectious Diseases, Tokai University School of Medicine, Isehara, Kanagawa, Japan. nagakura@is.icc.u-tokai.ac.jp
authors.forename: Kouichi
authors.initials: K
authors.lastname: Nagakura
authors.forename: Motofumi
authors.initials: M
authors.lastname: Oouchi
authors.forename: Keiko
authors.initials: K
authors.lastname: Abe
authors.forename: Kunioki
authors.initials: K
authors.lastname: Araki
mesh_terms: D000328:Adult; D000818:Animals; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D005260:Female; D006801:Humans; D008174:Lung Diseases, Parasitic / Q000000981:diagnostic imaging* / Q000473:pathology; D010237:Paragonimiasis / Q000000981:diagnostic imaging* / Q000473:pathology; D010238:Paragonimus / Q000302:isolation & purification; D013902:Radiography, Thoracic; D013183:Sputum / Q000166:cytology / Q000469:parasitology; D014397:Tuberculosis, Pulmonary / Q000000981:diagnostic imaging*