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Published on: October 13, 2023
Pleuropulmonary Paragonimiasis with Multiple Nodules in the Pleura
Hiroaki Ogata1, Eiji Harada1, Soichiro Moriya1
1Research Institute for Diseases of the Chest, Graduate School of Medical Sciences, Kyushu University, Japan.
Abstract:
An asymptomatic 47-year-old woman was admitted with pleural effusion and pulmonary infiltrates 1 month after ingesting raw wild boar and deer meat. Both her blood and pleural fluid were eosinophilic. Thoracoscopy revealed multiple nodules of the pleura, and biopsy samples of the nodules showed necrosis with epithelioid cell granulomas. An enzyme-linked immunosorbent assay was positive for antibodies against Paragonimus westermani, and the patient was successfully treated with praziquantel. This is the first reported case of pulmonary or pleuropulmonary paragonimiasis where several pleural nodules were observed. The detection of pleural nodules on thoracoscopy can contribute to the prompt and accurate diagnosis of paragonimiasis.
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