Paragonimiasis westermani with multifocal lesions in lungs and skin

被引：23
|
作者：
Ashitani, J [1 ]
Kumamoto, K [1 ]
Matsukura, S [1 ]
机构：
[1] Natl Sanit Miyazakihigashi Hosp, Miyazaki 8800911, Japan
来源：
INTERNAL MEDICINE | 2000年 / 39卷 / 05期
关键词：
Paragonimus westermani; pleuritis; interstitial pneumonia; cutaneous nodule;
D O I：
10.2169/internalmedicine.39.433
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
We report a case of Paragonimus westermani infection with a reticulonodular lesion in the right lung, left pleural effusion, and a mobile subcutaneous mass. Analyses of pleural effusion and bronchoalveolar lavage fluid (BALF) showed marked eosinophilia and high levels of eosinophil cationic protein and interleukin (IL)-5. Transbronchial lung biopsy revealed the presence of pneumonia with mild eosinophilic infiltration but remarkable lymphocytic infiltration. In this patient, high IL-5 levels in both BALF and pleural effusion could explain the remarkable eosinophilia.
引用
收藏
页码：433 / 436
页数：4
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