Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Pulmonary Paragonimiasis Mimicking Pulmonary Tuberculosis

폐결핵으로 오인된 폐흡충증 1예

  • Kim, Hyun Soo (Division of Pulmonology, Department of Internal Medicine, College of Medicine, Hanyang University) ;
  • Ko, Young Sun (Division of Pulmonology, Department of Internal Medicine, College of Medicine, Hanyang University) ;
  • Kwak, Hyun Jung (Division of Pulmonology, Department of Internal Medicine, College of Medicine, Hanyang University) ;
  • Lee, Hee Kyung (Division of Pulmonology, Department of Internal Medicine, College of Medicine, Hanyang University) ;
  • Kim, Sang Heon (Division of Pulmonology, Department of Internal Medicine, College of Medicine, Hanyang University) ;
  • Kim, Tae-Hyung (Division of Pulmonology, Department of Internal Medicine, College of Medicine, Hanyang University) ;
  • Sohn, Jang Won (Division of Pulmonology, Department of Internal Medicine, College of Medicine, Hanyang University) ;
  • Yoon, Ho Joo (Division of Pulmonology, Department of Internal Medicine, College of Medicine, Hanyang University) ;
  • Shin, Dong Ho (Division of Pulmonology, Department of Internal Medicine, College of Medicine, Hanyang University) ;
  • Park, Sung Soo (Division of Pulmonology, Department of Internal Medicine, College of Medicine, Hanyang University)
  • 김현수 (한양대학교 의과대학 내과학교실) ;
  • 고영선 (한양대학교 의과대학 내과학교실) ;
  • 곽현정 (한양대학교 의과대학 내과학교실) ;
  • 이희경 (한양대학교 의과대학 내과학교실) ;
  • 김상헌 (한양대학교 의과대학 내과학교실) ;
  • 김태형 (한양대학교 의과대학 내과학교실) ;
  • 손장원 (한양대학교 의과대학 내과학교실) ;
  • 윤호주 (한양대학교 의과대학 내과학교실) ;
  • 신동호 (한양대학교 의과대학 내과학교실) ;
  • 박성수 (한양대학교 의과대학 내과학교실)
  • Received : 2007.09.21
  • Accepted : 2007.10.22
  • Published : 2007.11.30
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Abstract

Paragonimiasis mainly occurs by ingestion of raw or undercooked freshwater crabs or crayfish. In our country, the prevalence of paragonimiasis was high until late 1960s due to eating habits, but after the 1970s the prevalence of the disease has markedly decreased and now the disease is rarely seen. As the clinical and radiological features as well as the laboratory findings are similar to that of pulmonary tuberculosis, the differential diagnosis of pulmonary paragonimiasis is very difficult. We experienced a case of a patient with pulmonary paragonimiasis who was treated as having pulmonary tuberculosis.

폐흡충증은 임상양상이나 방사선학적 소견이 폐결핵과 매우 유사하고 최근 우리나라에서 유병률이 낮아 조기 진단이 어렵다. 저자들은 폐결핵으로 오인된 폐흡충증 1예를 경험 하였으며 폐결핵이 의심되더라도 균이 증명되지 않거나 항결핵제 치료에 반응하지 않는 경우에 폐흡충증에 관한 병력 청취와 충란 검사 및 ELISA 검사를 통한 감별진단이 정확한 진단 및 치료에 도움이 될 것으로 사료된다.

Keywords

References

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