Choi J H, Chung S I, Whang Y S, Lee J D, Lim H O, Choi J H, Chang S H, Jung K M, Rhie S
Department of Internal Medicine, College of Medicine, Gyeongsang National University Hospital, Chinju, Korea.
Korean J Intern Med. 1991 Jan;6(1):38-43. doi: 10.3904/kjim.1991.6.1.38.
Cysticercosis, which has a worldwide distribution is found in man, who is usually infected by eating inadequately cooked pork or other contaminated food. Cysticercosis develops most commonly in the muscles and brain. Pulmonary involvement is very rare and also difficult to recognize because pulmonary lesions caused by the presence of cysticerci are difficult to discern from pulmonary infiltrates, because other parasitic infestations or tuberculosis, as well as metastatic lesions, produce similar chest X-ray findings and similar clinical symptoms. We experienced a case of pulmonary cysticercosis confirmed at Gyeongsang National University Hospital by means of an open lung biopsy and treated successfully with praziquantel (50 mg/kg per day for 15 days). This case seems to indicate that pulmonary cysticercosis should be considered as a diagnostic possibility in patients with nodular infiltrates in the lungs, especially in endemic areas, until such infiltrates are otherwise explained.
囊尾蚴病在全球范围内均有分布，人类通常因食用未煮熟的猪肉或其他受污染食物而感染。囊尾蚴病最常见于肌肉和脑部。肺部受累极为罕见，且难以识别，因为由囊尾蚴引起的肺部病变很难与肺部浸润相区分，其他寄生虫感染、结核病以及转移性病变也会产生类似的胸部X光表现和临床症状。我们在庆尚国立大学医院遇到一例经开胸肺活检确诊的肺囊尾蚴病病例，并成功用吡喹酮进行了治疗（每天50mg/kg，共15天）。该病例似乎表明，对于肺部有结节状浸润的患者，尤其是在流行地区，在排除其他病因之前，应考虑肺囊尾蚴病的诊断可能性。
