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肺囊尾蚴病:一例基于胸部计算机断层扫描的肺部异常结节病例报告。

Pulmonary cysticercosis: A case report of abnormal lung nodule based on chest computerized tomography.

作者信息

Savigamin Chatuthanai, Benjacholamas Vichai, Sriprasart Thitiwat

机构信息

Department of Parasitology Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.

Division of Cardiothoracic Surgery, Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.

出版信息

Respir Med Case Rep. 2022 Nov 4;40:101764. doi: 10.1016/j.rmcr.2022.101764. eCollection 2022.

Abstract

Pulmonary cysticercosis is one of the rare complications of cysticercosis that occurs worldwide, especially in developing countries. Its clinical presentation can range from asymptomatic, pleural effusion, and constitutional symptoms to incidental pulmonary nodule. Here, we report pulmonary cysticercosis detected as a pulmonary nodule in computed tomography. Positron emission tomography revealed that the nodule was non-FDG avidity. However, the slow-growing pattern of the nodule raised a concern to the clinician to achieve definite diagnosis by surgical biopsy. Histopathological examination revealed cysticercosis. The patient was treated with praziquantel.

摘要

肺囊尾蚴病是囊尾蚴病的罕见并发症之一,在全球范围内均有发生,尤其是在发展中国家。其临床表现多样,可从无症状、胸腔积液、全身症状到偶然发现的肺结节。在此,我们报告一例在计算机断层扫描中被检测为肺结节的肺囊尾蚴病病例。正电子发射断层扫描显示该结节不摄取氟代脱氧葡萄糖(FDG)。然而,该结节的缓慢生长模式引起了临床医生的关注,遂通过手术活检以明确诊断。组织病理学检查显示为囊尾蚴病。该患者接受了吡喹酮治疗。

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