Tuberc Respir Dis > Volume 64(2); 2008 > Article
Tuberculosis and Respiratory Diseases 2008;64(2):133-137.
DOI: https://doi.org/10.4046/trd.2008.64.2.133    Published online February 1, 2008.
A Case of Pulmonary Paragonimiasis Presented as Solitary Pulmonary Nodule and Suspected as Lung Cancer on (18)F-Fluorodeoxyglucose Positron Emission Tomography.
Jae Young Moon, Ki Hwan Jung, Je Hyeong Kim, Hyung Joo Park, Young Sik Kim, Chol Shin
1Department of Internal Medicine, Ansan Hospital, Korea University College of Medicine, Ansan, Korea. chepraxis@korea.ac.kr
2Department of Thoracic and Cardiovascular Surgery, Ansan Hospital, Korea University College of Medicine, Ansan, Korea.
3Department of Pathology, Ansan Hospital, Korea University College of Medicine, Ansan, Korea.
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 18F-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.
Key Words: Pulmonary paragonimiasis, Solitary pulmonary nodule, Positron emission tomography


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