[A case of lung paragonimiasis superinfection with hookworm presenting difficulty in discrimination].

Shohei Minezaki, Takashi Hirama, Ayako Shiono, A. Masumoto, Tomohiko Mio, Harue Utsugi, Yoshitaka Uchida, Akiko Kaga, Koichi Hagiwara, Minoru Kanazawa

研究成果: Article査読

抄録

A 40-year-old woman, who was born in Thailand and moved to Japan 20 years previously, was admitted to our university hospital because of eosinophilia and abnormal chest radiography findings over a 6-month period. The chest CT showed multiple cavitary nodules in the subpleural area and a tubular structure that extended from each cavity to the pleura. Immunological examination revealed an elevation of antibody titers against Ancylostoma duodenale, Paragonimiasis miyazakii and Paragonimiasis westermanii based on an ELISA assay. In addition, hookworm eggs were found in the stool. We firstly administered pyrantel pamoates, following which the eggs become undetectable. Nevertheless, eosinophilia and abnormal chest CT findings persisted. We diagnosed the patient as having a superinfection with paragonimiasis and hookworm, then administered praziquantel. Subsequently, the number of eosinophils returned to a normal level and the abnormal shadow in the chest CT images diminished without scarring. The final diagnosis was a superinfection of paragonimiasis and hookworm.

本文言語English
ページ(範囲)756-760
ページ数5
ジャーナルUnknown Journal
87
6
DOI
出版ステータスPublished - 2013 11
外部発表はい

ASJC Scopus subject areas

  • 医学(全般)

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