David Geffen School of Medicine at UCLA, Los Angeles; Santa Barbara Pulmonary Consultants, Santa Barbara.
Santa Barbara Cottage Hospital, Santa Barbara.
Chest. 2011 Oct;140(4):1064-1066. doi: 10.1378/chest.10-2168.
Paragonimiasis is a parasitic infection endemic in Asia but uncommon in the United States. It presents most frequently with cough and hemoptysis. Pleural effusions are common and can manifest occasionally as a pseudochylothorax, but a true chylothorax has, to our knowledge, never been reported. We report a case of a chylothorax from infection with Paragonimus westermani. The case is also unique because it occurred in a native Californian who had not traveled to Asia and was infected by eating raw crabs at a local sushi restaurant. The freshwater crabs had been imported from Asia.
并殖吸虫病是一种流行于亚洲的寄生虫感染病，但在美国并不常见。它最常表现为咳嗽和咯血。胸腔积液很常见，偶尔也会表现为假性乳糜胸，但据我们所知，从未有过真正的乳糜胸的报告。我们报告了一例由卫氏并殖吸虫感染引起的乳糜胸。该病例也很独特，因为它发生在一个土生土长的加利福尼亚人身上，他没有去过亚洲，而是在当地一家寿司店吃生螃蟹时感染的。这些淡水螃蟹是从亚洲进口的。
