Kuroki Masaomi, Hatabu Hiroto, Nakata Hiroshi, Hashiguchi Norihisa, Shimizu Tokiyoshi, Uchino Noriko, Tamura Shozo
Department of Radiology, University of Miyazaki, Miyazaki Medical College, Miyazaki, Japan.
J Thorac Imaging. 2005 Aug;20(3):210-3. doi: 10.1097/01.rti.0000168601.85837.64.
Paragonimiasis westermani, or Oriental lung fluke, is a common parasitic zoonosis, which is acquired from eating the flesh of wild boar or freshwater crabs. After being ingested by humans, the larvae of P. westermani migrate across small intestinal mucosa into the intra-abdominal space, and then finally into to the pleural space and lung parenchyma. High-resolution CT findings of P. westermani consist of worm cysts, migration track, peripheral density, bronchial wall thickening, and centrilobular nodules, which prompt serological tests and detection of eggs in sputum or BAL fluid for definitive diagnosis.
卫氏并殖吸虫病，即东方肺吸虫病，是一种常见的寄生虫人畜共患病，通过食用野猪或淡水蟹的肉而感染。被人类摄入后，卫氏并殖吸虫的幼虫穿过小肠黏膜进入腹腔，最终进入胸膜腔和肺实质。卫氏并殖吸虫病的高分辨率CT表现包括虫囊肿、移行轨迹、外周密度、支气管壁增厚和小叶中心结节，这些表现促使进行血清学检测以及在痰液或支气管肺泡灌洗液中检测虫卵以明确诊断。
