A Case of Pleuropulmonary Paragonimiasis with a Breast Abscess as the Ectopic Site

유방 농양 및 흉막염을 동반한 폐흡충증 1예

  • Han, Sun-Young (Department of Internal Medicine, The Catholic University of Korea School of Medicine) ;
  • Lee, Wook-Hyun (Department of Internal Medicine, The Catholic University of Korea School of Medicine) ;
  • Yu, Jin-Sok (Department of Internal Medicine, The Catholic University of Korea School of Medicine) ;
  • Lee, Sang-Rok (Department of Internal Medicine, Cheongju St. Mary’s Hospital) ;
  • An, Jin-Young (Department of Internal Medicine, Chungbuk National University College of Medicine) ;
  • Koh, Jong-Hyun (Department of General Surgery, Cheongju St. Mary's Hospital) ;
  • Park, Yong-Geun (Department of Internal Medicine, Cheongju St. Mary’s Hospital)
  • 한선영 (가톨릭대학교 의과대학 내과학교실) ;
  • 이욱현 (가톨릭대학교 의과대학 내과학교실) ;
  • 유진석 (가톨릭대학교 의과대학 내과학교실) ;
  • 이상록 (청주성모병원 내과) ;
  • 안진영 (충북대학교 의과대학 내과학교실) ;
  • 고종현 (청주성모병원 외과) ;
  • 박용근 (청주성모병원 내과)
  • Published : 2011.10.01

Abstract

Paragonimiasis is an infectious disease caused by consumption of raw or improperly cooked freshwater crab or crayfish contaminated with Paragonimus metacercariae. The incidence of the disease has markedly decreased, but it is still a lung disease that requires a differential diagnosis in endemic areas such as Korea and Japan. It is commonly found in the lung but has also been found as extrapulmonary infestations, such as cerebral, spinal, subcutaneous, abdominal, urinary, and gynecological infestations. We report a rare case of ectopic paragonimiasis involving the breast with pleural effusion that was initially misdiagnosed as tuberculous pleurisy and a breast abscess.

폐흡충증은 덜 조리된 민물게나 가재에 있는 폐흡충증의 피낭 유충을 섭취하여 생기는 기생충 질환이다. 이는 감소하는 경향이지만 한국과 일본 등 유행하는 지역에서는 여전히 폐와 흉막 질환을 일으키는 중요한 원인으로 고려되어야 한다. 그리고 흔하지는 않지만 뇌, 척수, 복강 및 골반 장기나 피하조직에 이소성 병소를 유발할 수 있다. 저자들은 흉막염을 동반한 폐결핵과 별개의 질환으로서 병발한 유방 농양이라고 오인했다가 이소성 유방 농양과 흉막염을 동반한 폐흡충증으로 진단된 증례를 보고한다.

Keywords

References

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