A Case of Clonorchiasis with Clinical Presentation of Eosinophilic Pneumonia

호산구성 폐렴으로 발현된 간흡충증 1예

Although clonorchiasis is one of the most common parasitic infections in Korea, it is unusual that the disease presents peripheral eosinophilia and pulmonary infiltrations.(eosinophilic pneumonia) A case of clonorchiasis manifested as diffuse nodular pulmonary infiltrations was presented. The patient had a mild to moderate pain on the right upper quadrant of the abdomen, cough, dyspnea, and unknown cause of marked eosinophilia (up to 71.4% of total white blood cell count). The causal organism, clonorchis sinensis was found by the identification of parasite ova in the stool We confirmed eosinophilic pneumonia with bronchoalveolar larvage analysis and transbronchial lung biopsy. With corticosteroid and praziquantel treatment, clinical symtoms and pulmonary infiltrations on the chest roentgenograms had rapidly improved. We report a case of eosinophilic pneumonia related to clonorchiasis and review the pertinent literature.

저자들은 평소 건강하던 중 기침, 호흡곤란 등으로 내원한 환자에서 흉부 X-선상 양측 폐야에 결절성 폐침윤 소견과 말초혈액상 호산구증가 등을 보여 경기관지 폐생검 및 폐포세척술 상 호산구성 폐렴을 진단하고 그 원인으로 담낭염을 동반한 간흡충증 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.