Nagakura Kouichi, Oouchi Motofumi, Abe Keiko, Araki Kunioki
Department of Infectious Diseases, Tokai University School of Medicine, Isehara, Kanagawa, Japan.
Tokai J Exp Clin Med. 2002 Dec;27(4):97-100.
The diagnosis of tuberculosis by X-ray radiogram is often confused with pulmonary carcinoma, bacillary and parasitic infections, and chronic mycosis. A case of pulmonary paragonimiasis misdiagnosed as tuberculosis by X-ray radiogram is reported. With this case, the smears of sputum were rechecked by an inspection technician's discernment, and Paragonimus eggs along with numerous eosinophils and Charcot-Leyden crystals were detected. In suspected cases of tuberculosis, a history of crab-eating plus sputum examinations, image findings, and serodiagnosis are necessary to rule out paragonimiasis.
通过X线胸片诊断肺结核常与肺癌、细菌性和寄生虫感染以及慢性真菌病相混淆。本文报告1例通过X线胸片误诊为肺结核的肺吸虫病病例。针对该病例，由检验技师仔细复查痰涂片，检测到肺吸虫卵以及大量嗜酸性粒细胞和夏科-莱登结晶。在疑似肺结核病例中，有食蟹史、痰检、影像学表现及血清学诊断对于排除肺吸虫病很有必要。
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