title: [A case of Paragonimus westermani complicated empyema by Streptococcus pneumoniae].
abstract: A 75-year-old man, who had eaten wild boar and deer repeatedly until November 2006, visited our hospital because of a right pleural effusion on chest X-ray films after he bruised a hip in January 2007. A right thoracocentesis revealed exudative pleural effusion with many neutrophils. Ten days after his first visit, a pleural biopsy specimen suggested the existence of parasite eggs. Twenty-six days after his first visit, he was admitted to our hospital because of leukocytosis, increased systemic inflammatory markers and a right pleural effusion. We found a great number of neutrophils, eggs of the Paragonimus species and gram-positive cocci in the pleural effusion. Streptococcus pneumoniae was also identified in his pleural effusion. In addition, a diagnosis of Paragonimiasis westermani was made serological study. After the continuous drainage of the pleural effusion, the patient was treated with praziquantel and antibiotics, and he gradually improved.
authors.affiliation: Department of Internal Medicine, Omura City Hospital.
authors.forename: Towako
authors.initials: T
authors.lastname: Nagata
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Mukae
authors.forename: Youji
authors.initials: Y
authors.lastname: Futsuki
authors.forename: Osamu
authors.initials: O
authors.lastname: Sakito
authors.forename: Youko
authors.initials: Y
authors.lastname: Hayashi
authors.forename: Noriho
authors.initials: N
authors.lastname: Sakamoto
authors.forename: Yuji
authors.initials: Y
authors.lastname: Ishimatsu
authors.forename: Shigeru
authors.initials: S
authors.lastname: Kohno
mesh_terms: D000368:Aged; D000818:Animals; D004653:Empyema / Q000150:complications*; D006801:Humans; D008297:Male; D010237:Paragonimiasis / Q000150:complications*; D048492:Paragonimus westermani; D011008:Pneumococcal Infections / Q000150:complications*