Pulmonary Paragonimiasis Misdiagnosed with Pulmonary Tuberculosis

Q3 Medicine

Pediatric Infection and Vaccine Pub Date : 2017-12-01 DOI:10.14776/PIV.2017.24.3.178

Su Eun Park, Bo Song, J. Hwang

引用次数: 1

Abstract

우리나라에서 폐흡충증은 1960년대 까지만 해도 매우 흔하여 폐의 공동 병변을 일으키는 주요 감염 원인이었으나 현재는 매우 드문 감염병이 되었다. 16세 남자가 갑자기 열감, 기침, 객혈이 발생하여 가슴 X-선 영상검사를 실시하였고, 공기음영(air bubble)을 포함하고 있는 결절과 간유리 음영으로 세균학적으로 결핵균이 확인되지 않았으나 결핵으로 진단받고 항결핵제로 치료를 받았다. 항결핵제 치료 후에 더 이상 기침 등의 증상은 호소하지 않았으나 가슴 X-선 영상검사와 가슴 컴퓨터단층촬영검사에서 병변이 악화되어 비디오 흉강경 구역절제술을 실시 받았으며 조직검사에서 폐흡충란이 발견되어 폐흡충증으로 진단된 증례를 경험하여 보고하고자 한다.

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肺吸虫病误诊为肺结核

在我国，肺吸虫症直到20世纪60年代还非常常见，是引起肺共同病变的主要感染原因，但现在已成为非常罕见的传染病。一名16岁男子突然出现热感、咳嗽、客血等症状，进行了胸部X线影像检查，并通过含有空气阴影(air bubble)的结节和肝玻璃阴影，在细菌学上尚未确认结核菌，但被诊断为结核，并用抗结核剂接受了治疗。抗结核治疗后再也没有咳嗽等症状的号召,但胸部x线影像检查和胸部电脑断层扫描检查中病变恶化了休谟强硬受到区域实施截肢手术的录像,发现肺吸虫是指在组织检查被诊断为肺吸虫症症如,报告的经验。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Infection and Vaccine Medicine-Pediatrics, Perinatology and Child Health

CiteScore

0.90

自引率

0.00%

发文量

期刊介绍： Pediatric Infection and Vaccine is an official publication of the Korean Society of Pediatric Infectious Diseases and a peer-reviewed, open-access, multidisciplinary journal directed to physicians and other health care professionals who manage infectious diseases of childhood. The editorial board calls for the articles that originate from worldwide research or clinical study groups and the publication is determined by the editors and reviewers who are the experts in the specific field of infectious diseases of childhood. The categories of manuscripts are original articles, case reports, reviews and rapid communication. The Journal is published triannually and distributed to members of the Korean Society of Pediatric Infectious Diseases, medical schools, libraries and related institutes to persue the academic advancement in infectious diseases and to promote active communication between the members and international societies of pediatric infectious diseases. Eventually, the journal aims to contribute to the cure of infectious diseases of childhood and to the improvement of public health.