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Pulmonary paragonimiasis misdiagnosed as tuberculosis: with special references on paragonimiasis
Kouichi Nagakura1, Motofumi Oouchi, Keiko Abe
1Department of Infectious Diseases, Tokai University School of Medicine, Isehara, Kanagawa, Japan. nagakura@is.icc.u-tokai.ac.jp
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.