title: Pulmonary Paragonimiasis: The Detection of a Worm Migration Track as a Diagnostic Clue for Uncertain Eosinophilic Pleural Effusion.
abstract: A 38-year-old woman with sustained right chest pain was referred to our hospital. She showed pleural effusion and peripheral blood eosinophilia. Thoracentesis revealed eosinophilic pleural effusion in which the smear, culture and cytological examinations were all negative. Although she had no notable dietary history, chest CT revealed linear opacities, which suggested the migration tracks of paragonimiasis. The diagnosis was confirmed using enzyme-linked immunosorbent assays, which showed elevated Paragonimus westermani and Paragonimus miyazakii antibody levels. After the initiation of praziquantel therapy, all clinical findings were promptly improved. The detection of a migration track may therefore be useful in the diagnosis of paragonimiasis.
authors.affiliation: The First Department of Medicine, Tokyo Women's Medical University, Japan.
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Akaba
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Takeyama
authors.forename: Midori
authors.initials: M
authors.lastname: Toriyama
authors.forename: Ayako
authors.initials: A
authors.lastname: Kubo
authors.forename: Rie
authors.initials: R
authors.lastname: Mizobuchi
authors.forename: Takeshi
authors.initials: T
authors.lastname: Yamada
authors.forename: Etsuko
authors.initials: E
authors.lastname: Tagaya
authors.forename: Mitsuko
authors.initials: M
authors.lastname: Kondo
authors.forename: Shuji
authors.initials: S
authors.lastname: Sakai
authors.forename: Jun
authors.initials: J
authors.lastname: Tamaoki
mesh_terms: D000328:Adult; D000818:Animals; D000871:Anthelmintics / Q000627:therapeutic use*; D003296:Cooking; D004797:Enzyme-Linked Immunosorbent Assay; D005260:Female; D006801:Humans; D008174:Lung Diseases, Parasitic / Q000000981:diagnostic imaging* / Q000188:drug therapy; D008460:Meat / Q000469:parasitology; D010237:Paragonimiasis / Q000000981:diagnostic imaging* / Q000188:drug therapy; D048492:Paragonimus westermani / Q000302:isolation & purification*; D010996:Pleural Effusion / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000469:parasitology*; D011223:Praziquantel / Q000627:therapeutic use*; D013902:Radiography, Thoracic; D013045:Species Specificity; D016896:Treatment Outcome
chemical_list: D000871:Anthelmintics; D011223:Praziquantel