Sim Yun Su, Lee Jin Hwa, Hong Sung Chul, Chang Jung Hyun, Kang So Ra, Yang Hyun Jong, Sung Sun Hee
Department of Internal Medicine, Ewha Womans University School of Medicine and Ewha Medical Research Institute, Korea.
Intern Med. 2010;49(15):1645-8. doi: 10.2169/internalmedicine.49.3495. Epub 2010 Aug 2.
Paragonimiasis is the infestation of lung flukes of the trematode genus Paragonimus. Because the symptoms and radiologic findings of paragonimiasis mimic those of tuberculosis, some patients with paragonimiasis are initially treated for tuberculosis. Although Paragonimus may also reach ectopic sites such as the peritoneum or brain, infection in the skin is rare. To our knowledge, paragonimiasis has not been found in the tip of a finger. We report a case of 39-year-old woman who was belatedly diagnosed as having paragonimiasis with a parasitic migration to the tip of the left little finger after initial misdiagnosis of tubercular serositis.
肺吸虫病是由并殖吸虫属的肺吸虫寄生于人体所致。由于肺吸虫病的症状和影像学表现与结核病相似，一些肺吸虫病患者最初会被当作结核病进行治疗。虽然肺吸虫也可能寄生于异位部位，如腹膜或脑，但皮肤感染却较为罕见。据我们所知，尚未发现肺吸虫病出现在手指末端。我们报告一例39岁女性病例，该患者最初被误诊为结核性浆膜炎，后来被迟发性诊断为肺吸虫病，且寄生虫移行至左手小手指末端。
