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Pneumothorax induced by pulmonary paragonimiasis: two cases report
1Department of Cardiothoracic Surgery, Soonchunhyang University Hospital, Soonchunhyang University College of Medicine, Korea.
The Korean Journal of Thoracic and Cardiovascular Surgery
|September 11, 2014
Summary
Paragonimiasis, a lung fluke infection, can cause pneumothorax after consuming raw aquatic animals or contaminated water. Early diagnosis via CT scans and ELISA is crucial for effective treatment.
Area of Science:
- Medical Parasitology
- Thoracic Surgery
- Infectious Diseases
Background:
- Paragonimiasis is a parasitic lung infection caused by Paragonimus worms.
- Juvenile Paragonimus worms can migrate and damage the visceral pleura, potentially leading to pneumothorax.
Observation:
- Two cases are presented: a woman with pneumothorax after eating raw crab and a soldier with recurrent pneumothorax after drinking stream water.
- Computed tomography (CT) scans raised suspicion for paragonimiasis in both patients.
Findings:
- Enzyme-linked immunosorbent assay (ELISA) of pleural fluid confirmed paragonimiasis in both individuals.
- The cases highlight pneumothorax as a presenting symptom of paragonimiasis, even without eosinophilia.
Implications:
- Paragonimiasis should be considered in the differential diagnosis of pneumothorax, especially in endemic areas or after exposure to raw freshwater crabs or contaminated water.
- Prompt diagnosis and treatment are essential to manage this parasitic infection and prevent severe respiratory complications.
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