肺吸虫病
医学
痰
卫氏并殖吸虫
嗜酸性粒细胞增多症
支气管扩张
裂纹
并殖吸虫
吡喹酮
肺
慢性咳嗽
恶化
呼吸系统
内科学
胃肠病学
外科
病理
肺结核
哮喘
免疫学
蠕虫
血吸虫病
作者
Wonashi R Tsanglao,Sungkumtangla Jamir
标识
DOI:10.1016/s1473-3099(23)00273-6
摘要
A 5-year-old boy from Nagaland, a northeastern state of India, presented to our institute with a 1-year history of recurrent episodes of cough and brownish expectoration. He was otherwise growing well, and had no fever or breathing difficulty. Respiratory system examination showed the presence of crackles in the left infrascapular area. Blood investigation showed eosinophilia (absolute eosinophil count 1700 cells per mm3) and raised serum IgE (1000 international units per mL). High-resolution CT of the chest showed the presence of consolidation at the lung bases with a cavity in the left lower lobe (figure A). Microscopic examination of sputum on wet mount showed presence of numerous eggs of Paragonimus westermani (figure B, C), establishing a diagnosis of pulmonary paragonimiasis. Allergic bronchopulmonary aspergillosis and tuberculosis were the main conditions considered in differential diagnosis and then ruled out. The patient was treated with praziquantel (75 mg/kg per day for 3 days), and his symptoms improved.
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