Singh Th Nabakumar, Singh H Rebachandra, Devi Kh Sulochana, Singh Ng Brajachand, Singh Y Ibotomba
Department of Microbiology, Regional Institute of Medical Sciences, Imphal, Manipur, India.
Indian J Chest Dis Allied Sci. 2004 Jul-Sep;46(3):225-7.
A 27-year-old married male from Lamdeng village of Imphal West District, Manipur presented with cough, fever, haemoptysis, anorexia and weight loss, and was treated with antituberculosis drugs continuously for one year without improvement. He also had history of ingestion of raw crabs. Chest radiograph revealed right midzone lesion with cavitation. Laboratory investigations revealed peripheral blood eosinophilia, elevated erythrocyte sedimentation rate and sputum smear revealed eggs of Paragonimus westermani. He responeded well to treatment with praziquantel 25 mg/kg, three times a day for three days and is doing well on follow-up. Pulmonary paragonimiasis must be considered in the differential diagnosis of slowly resolving pneumonias, especially in the appropriate clinical setting because effective treatment with praziquantel can be rewarding.
一名来自曼尼普尔邦英帕尔西区拉姆登村的27岁已婚男性,出现咳嗽、发热、咯血、厌食和体重减轻症状,接受抗结核药物持续治疗一年但无改善。他还有食用生蟹史。胸部X光片显示右中区病变并伴有空洞形成。实验室检查显示外周血嗜酸性粒细胞增多、红细胞沉降率升高,痰涂片发现卫氏并殖吸虫卵。他接受吡喹酮25mg/kg、每日三次、共三天的治疗后反应良好,随访情况良好。在鉴别诊断缓慢消散的肺炎时,尤其是在适当的临床背景下,必须考虑肺并殖吸虫病,因为吡喹酮的有效治疗可能会有成效。