Rangdaeng S, Alpert L C, Khiyami A, Cottingham K, Ramzy I
Department of Pathology, Baylor College of Medicine, Houston, Texas.
Acta Cytol. 1992 Jan-Feb;36(1):31-6.
We report a case of paragonimiasis in a Nigerian woman evaluated for symptoms of chronic respiratory disease five years after chemotherapy for primary lymphoma of the breast. Fine needle aspiration of one of two fibrocavitary pulmonary lesions yielded thick, brown material in which ova diagnostic of Paragonimus westermani were identified cytologically. This disease is unusual in natives of North America but is seen in travelers and immigrants from Asia, Africa, and South and Central America, where it is endemic. The infection can be fatal, especially if it involves the central nervous system. The clinical differential is broad, but an accurate diagnosis may be made by fine needle aspiration, thus allowing proper treatment.
我们报告了一例尼日利亚女性的肺吸虫病病例。该女性在接受原发性乳腺淋巴瘤化疗五年后，因慢性呼吸道疾病症状接受评估。对两个纤维空洞性肺部病变之一进行细针穿刺，抽出了浓稠的棕色物质，经细胞学检查发现其中有可诊断为卫氏并殖吸虫的虫卵。这种疾病在北美本地人中并不常见，但在来自亚洲、非洲以及南美洲和中美洲（该病流行地区）的旅行者和移民中可见。该感染可能是致命的，尤其是当它累及中枢神经系统时。临床鉴别诊断范围广泛，但通过细针穿刺可做出准确诊断，从而得以进行恰当治疗。
