Simultaneous Paragonimus infection involving the breast and lung:A case report  

作　　者：Moon Young Oh Ajung Chu Jeong Hwan Park Jong Yoon Lee Eun Youn Roh Young Jun Chai Ki-Tae Hwang 

机构地区：[1]Department of Surgery,Seoul National University Hospital,Seoul 156707,South Korea [2]Department of Radiology,Seoul Metropolitan Government Seoul National University Boramae Medical Center,Seoul 156707,South Korea [3]Department of Pathology,Seoul Metropolitan Government Seoul National University Boramae Medical Center,Seoul 156707,South Korea [4]Department of Laboratory Medicine,Seoul Metropolitan Government Seoul National University Boramae Medical Center,Seoul 156707,South Korea [5]Department of Surgery,Seoul Metropolitan Government Seoul National University Boramae Medical Center,Seoul 156707,South Korea

出　　处：《World Journal of Clinical Cases》2019年第24期4292-4298,共7页世界临床病例杂志

摘　　要：BACKGROUND Paragonimiasis is a food-borne parasitic infection caused by lung flukes of the genus Paragonimus. Although the most common site of infection is the pleuropulmonary area, the parasite can also reach other parts of the body on its journey from the intestines to the lungs, ending up in locations such as the brain,abdomen, skin, and subcutaneous tissues. Ectopic paragonimiasis is difficult to diagnose due to the rarity of this disease.CASE SUMMARY Here, we report a rare case of simultaneous breast and pulmonary paragonimiasis in a woman presenting painless breast mass and lung nodule with a history of eating raw trout. To confirm the diagnosis, serologic testing and tissue confirmation of the breast mass were performed. The patient was treated with surgical resection of the mass and praziquantel medication.CONCLUSION Ectopic paragonimiasis is difficult to diagnose due to the rarity of this disease.Thus, thorough history-taking and clinical suspicion of parasitic infection are important.BACKGROUND Paragonimiasis is a food-borne parasitic infection caused by lung flukes of the genus Paragonimus. Although the most common site of infection is the pleuropulmonary area, the parasite can also reach other parts of the body on its journey from the intestines to the lungs, ending up in locations such as the brain,abdomen, skin, and subcutaneous tissues. Ectopic paragonimiasis is difficult to diagnose due to the rarity of this disease.CASE SUMMARY Here, we report a rare case of simultaneous breast and pulmonary paragonimiasis in a woman presenting painless breast mass and lung nodule with a history of eating raw trout. To confirm the diagnosis, serologic testing and tissue confirmation of the breast mass were performed. The patient was treated with surgical resection of the mass and praziquantel medication.CONCLUSION Ectopic paragonimiasis is difficult to diagnose due to the rarity of this disease.Thus, thorough history-taking and clinical suspicion of parasitic infection are important.

关 键 词：PARAGONIMIASIS Paragonimus westermani Parasitic infection Breast mass Lung nodule Case report 

分 类 号：R532.2[医药卫生—内科学]