Browse > Article

A Case of Pulmonary Paragonimiasis Presented as Solitary Pulmonary Nodule and Suspected as Lung Cancer on 18F-Fluorodeoxyglucose Positron Emission Tomography  

Moon, Jae Young (Department of Internal Medicine, Ansan Hospital, Korea University College of Medicine)
Jung, Ki Hwan (Department of Internal Medicine, Ansan Hospital, Korea University College of Medicine)
Kim, Je Hyeong (Department of Internal Medicine, Ansan Hospital, Korea University College of Medicine)
Park, Hyung Joo (Department of Thoracic and Cardiovascular Surgery, Ansan Hospital, Korea University College of Medicine)
Kim, Young Sik (Department of Pathology, Ansan Hospital, Korea University College of Medicine)
Shin, Chol (Department of Internal Medicine, Ansan Hospital, Korea University College of Medicine)
Publication Information
Tuberculosis and Respiratory Diseases / v.64, no.2, 2008 , pp. 133-137 More about this Journal
Abstract
Pulmonary paragonimiasis continues to be a diagnostically challenging parasitic disease, despite a drastically decreased prevalence in South Korea during the past decade. Pulmonary paragonimiasis is characterized by fever, chest pain, and chronic cough with hemoptysis. Numerous radiographic and computed tomographic findings including the presence of pneumothorax, pleural effusion, and parenchymal lesions such as nodular or infiltrative opacities have been reported. The clinical and radiological manifestations of paragonimiasis can resemble those of lung cancer, tuberculosis or a metastatic malignancy. Furthermore, this disease can mimic lung cancer as seen on $^{18}F$-fluorodeoxyglucose positron emission tomography (FDG-PET). We report a case of pulmonary paragonimiasis in a 48-year old man that presented with a solitary pulmonary nodule and was suspected as a lung cancer based on FDG-PET imaging.
Keywords
Pulmonary paragonimiasis; Solitary pulmonary nodule; Positron emission tomography;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
Times Cited By SCOPUS : 1
연도 인용수 순위
1 Nawa Y. Re-emergence of paragonimiasis. Intern Med 2000;39:353-4   DOI
2 Im JG, Whang HY, Kim WS, Han MC, Shim YS, Cho SY. Pleuropulmonary paragonimiasis: radiologic findings in 71 patients. AJR Am J Roentgenol 1992;159:39-43   DOI   ScienceOn
3 Cho SY, Kong Y, Kang SY. Epidemiology of paragonimiasis in Korea. Southeast Asian J Trop Med Public Health 1997;28 Suppl 1:32-6
4 Nakamura-Uchiyama F, Mukae H, Nawa Y. Paragonimiasis: a Japanese perspective. Clin Chest Med 2002;23:409-20   DOI
5 Jeon K, Koh WJ, Kim H, Kwon OJ, Kim TS, Lee KS, et al. Clinical features of recently diagnosed pulmonary paragonimiasis in Korea. Chest 2005;128:1423-30   DOI   ScienceOn
6 Goo JM, Im JG, Do KH, Yeo JS, Seo JB, Kim HY, et al. Pulmonary tuberculoma evaluated by means of FDG PET: findings in 10 cases. Radiology 2000;216:117-21   DOI
7 Yoo IeR, Park HJ, Hyun J, Chung YA, Sohn HS, Chung SK, et al. Two cases of pulmonary paragonimiasis on FDG-PET CT imaging. Ann Nucl Med 2006;20:311-315   DOI
8 Kuzucu A. Parasitic diseases of the respiratory tract. Curr Opin Pulm Med 2006;12:212-21   DOI   ScienceOn
9 Tomita M, Matsuzaki Y, Nawa Y, Onitsuka T. Pulmonary paragonimiasis referred to the department of surgery. Ann Thorac Cardiovasc Surg 2000;6:295-8
10 Reuter S, Schirrmeister H, Kratzer W, Dreweck C, Reske SN, Kern P. Pericystic metabolic activity in alveolar echinococcosis: assessment and follow-up by positron emission tomography. Clin Infect Dis 1999;29:1157-63   DOI   ScienceOn
11 Detterbeck FC, Falen S, Rivera MP, Halle JS, Socinski MA. Seeking a home for a PET, part 1: defining the appropriate place for positron emission tomography imaging in the diagnosis of pulmonary nodules or masses. Chest 2004;125:2294-9   DOI   ScienceOn
12 Croft DR, Trapp J, Kernstine K, Kirchner P, Mullan B, Galvin J, et al. FDG-PET imaging and the diagnosis of non-small cell lung cancer in a region of high histoplasmosis prevalence. Lung Cancer 2002;36:297-301   DOI   ScienceOn
13 Kim TS, Han J, Shim SS, Jeon K, Koh WJ, Lee I, et al. Pleuropulmonary paragonimiasis: CT findings in 31 patients. AJR Am J Roentgenol 2005;185:616-21   DOI   ScienceOn
14 Yu YK, Kim KS, Kim YH, Nah KJ, Kim KS, Lim SC, et al. A case of the solitary pulmonary nodule diagnosed as pulmonary paragonimiasis. Chonnam Med J 2001;37:185-8
15 Lee CH, Im JG, Goo JM, Lee HJ, Hong ST, Shen CH, et al. Serial CT findings of Paragonimus infested dogs and the Micro-CT findings of the worm cysts. Korean J Radiol 2007;8:372-81   DOI