Nakamura-Uchiyama Fukumi, Mukae Hiroshi, Nawa Yukifumi
Department of Parasitology, Miyazaki Medical College, 5200 Kiyotake, Miyazaki 889-1692, Japan.
Clin Chest Med. 2002 Jun;23(2):409-20. doi: 10.1016/s0272-5231(01)00006-5.
Paragonimiasis has been considered to be a foodborne zoonosis endemic only in limited areas in the world. Recently, however, patients have been seen almost all over the world because of the increase in number of overseas travelers and the popularization of ethnic dishes in developed countries. If paragonimiasis is misdiagnosed as tuberculosis or lung cancer patients suffer from a considerable burden of long-term hospitalization and unnecessary examinations and treatments. Clinicians should always be aware of the possibility of paragonimiasis when patients have pulmonary lesions with eosinophilia and an elevated serum IgE. For the diagnosis, rapid and reliable immunodiagnostic methods are now available. Highly effective drugs are also available for treatment.
肺吸虫病一直被认为是一种食源性人畜共患病，仅在世界上有限的地区流行。然而，近年来，由于海外旅行者数量的增加以及发达国家民族菜肴的普及，世界各地几乎都能见到肺吸虫病患者。如果肺吸虫病被误诊为肺结核或肺癌，患者将承受长期住院以及不必要检查和治疗的巨大负担。当患者出现肺部病变并伴有嗜酸性粒细胞增多和血清IgE升高时，临床医生应始终意识到肺吸虫病的可能性。目前已有快速可靠的免疫诊断方法用于诊断。也有高效药物可用于治疗。
