Pleural lump after paragonimiasis treated by thoracoscopy: A case report  

作　　者：Yue Xie Ya-Rui Luo Meng Chen Yi-Min Xie Chen-Yu Sun Qiang Chen 

机构地区：[1]Department of Burns and Plastic Surgery,Children’s Hospital of Chongqing Medical University,Chongqing 400010,China [2]Outpatient Department,Chongqing University Three Gorges Hospital,Chongqing 404000,China [3]Department of Pediatric Surgery,Chongqing University Three Gorges Hospital,Chongqing 400010,China [4]Department of Internal Medicine,AMITA Health Saint Joseph Hospital Chicago,Chicago,IL 60657,United States

出　　处：《World Journal of Clinical Cases》2021年第3期666-671,共6页世界临床病例杂志

摘　　要：BACKGROUND Paragonimiasis is a parasitic disease that has multiple symptoms,with pulmonary types being common.According to our clinical practices,the pleural effusion of our patients is full of fibrous contents.Drainage,praziquantel,and triclabendazole are recommended for the treatment,but when fibrous contents are contained in pleural effusion,surgical interventions are necessary.However,no related reports have been noted.Herein,we present a case of pulmonary paragonimiasis treated by thoracoscopy.CASE SUMMARY A 12-year-old girl presented to our outpatient clinic complaining of shortness of breath after exercise for several days.Enzyme-linked immunosorbent assay revealed positivity for antibodies against Paragonimus westermani,serological test showed eosinophilia,and moderate left pleural effusion and calcification were detected on computed tomography(CT).She was diagnosed with paragonimiasis,and praziquantel was prescribed.However,radiography showed an egg-sized nodule in the left pleural cavity during follow-up.She was then admitted to our hospital again.The serological results were normal except slight eosinophilia.CT scan displayed a cystic-like node in the lower left pleural cavity.The patient underwent a thoracoscopic mass resection.A mass with a size of 6 cm×4 cm×3 cm adhered to the pleura was resected.The pathological examination showed that the mass was composed of non-structured necrotic tissue,indicating a granuloma.The patient remainded asymptomatic and follow-up X-ray showed complete removal of the mass.CONCLUSION This case highlights that thoracoscopic intervention is necessary when fibrous contents are present on CT scan or chest roentgenogram to avoid later fibrous lump formation in patients with pulmonary paragonimiasis.

关 键 词：Pulmonary paragonimiasis PARAGONIMUS THORACOSCOPY Pleural lump Pleural effusion Case report 

分 类 号：R655[医药卫生—外科学]