Schaberg T, Rahn W, Racz P, Lode H
Dept of Infectious Diseases and Immunology, City Hospital Berlin, Zehlendorf, FRG.
Eur Respir J. 1991 Sep;4(8):1023-6.
Pulmonary involvement of schistosomiasis is usually characterized by a miliary mottling or diffuse nodular infiltrates. In most cases, pulmonary involvement is associated with an apparent clinical involvement of other organs. This report describes a 35 yr old patient who developed a cavity, a parenchymatous infiltrate and hilar adenopathy in association with pulmonary schistosomiasis. Schistosoma eggs were demonstrated in transbronchial biopsies from the lung. Pulmonary involvement of schistosomiasis is reviewed and atypical features are discussed, which may lead to diagnostic difficulties, particularly compared to tuberculosis.
血吸虫病的肺部受累通常表现为粟粒状斑点或弥漫性结节状浸润。在大多数情况下，肺部受累与其他器官明显的临床受累相关。本报告描述了一名35岁患者，其出现了空洞、实质浸润和肺门淋巴结肿大，与肺血吸虫病相关。在经支气管肺活检中发现了血吸虫卵。本文对肺血吸虫病进行了综述，并讨论了非典型特征，这些特征可能导致诊断困难，尤其是与肺结核相比。
