Pneumothorax with Eosinophilia is an Important Diagnostic Clue for Distinguishing Paragonimiasis from Chronic Eosinophilic Pneumonia: A Case Report
Shunsuke Sakakura,1,* Fumihiro Yamaguchi,1,* Takashi Abe,1 Hidekazu Cho,1 Shohei Shimizu,1 Ayaka Mase,1 Yusuke Shikama,1 Haruhiko Maruyama2 1Department of Respiratory Medicine, Showa University Fujigaoka Hospital, Yokohama, Japan; 2Division of Parasitology, Department of Infectious D...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2023-04-01
|
| Series: | Infection and Drug Resistance |
| Subjects: | |
| Online Access: | https://www.dovepress.com/pneumothorax-with-eosinophilia-is-an-important-diagnostic-clue-for-dis-peer-reviewed-fulltext-article-IDR |
| _version_ | 1797839249476681728 |
|---|---|
| author | Sakakura S Yamaguchi F Abe T Cho H Shimizu S Mase A Shikama Y Maruyama H |
| author_facet | Sakakura S Yamaguchi F Abe T Cho H Shimizu S Mase A Shikama Y Maruyama H |
| author_sort | Sakakura S |
| collection | DOAJ |
| description | Shunsuke Sakakura,1,* Fumihiro Yamaguchi,1,* Takashi Abe,1 Hidekazu Cho,1 Shohei Shimizu,1 Ayaka Mase,1 Yusuke Shikama,1 Haruhiko Maruyama2 1Department of Respiratory Medicine, Showa University Fujigaoka Hospital, Yokohama, Japan; 2Division of Parasitology, Department of Infectious Diseases, Graduate School of Medicine and Veterinary Medicine, University of Miyazaki, Miyazaki, Japan*These authors contributed equally to this workCorrespondence: Fumihiro Yamaguchi, Department of Respiratory Medicine, Showa University Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama, 227-8501, Japan, Tel +81-45-971-1151, Email f_y@med.showa-u.ac.jpAbstract: The Paragonimus westermani infection is a parasitic foodborne infection that induces systemic symptoms with eosinophilia in humans. Here, we described pneumothorax in addition to pulmonary opacities with eosinophilia in a man with a positive P. westermani serology. He was misdiagnosed with chronic eosinophilic pneumonia (CEP) during the initial phase. Paragonimiasis can share similar clinical findings with CEP in cases where the worm is confined to the lungs. The findings of the current study suggest that paragonimiasis and CEP can be distinguished from each other by the presence of various symptoms. Notably, eosinophilia with pneumothorax should be an important diagnostic factor for paragonimiasis.Keywords: Paragonimus westermani, chronic eosinophilic pneumonia, paragonimiasis, pneumothorax |
| first_indexed | 2024-04-09T15:53:51Z |
| format | Article |
| id | doaj.art-4468dfc0f7704ddab7b908fb543726fb |
| institution | Directory Open Access Journal |
| issn | 1178-6973 |
| language | English |
| last_indexed | 2024-04-09T15:53:51Z |
| publishDate | 2023-04-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Infection and Drug Resistance |
| spelling | doaj.art-4468dfc0f7704ddab7b908fb543726fb2023-04-25T18:55:18ZengDove Medical PressInfection and Drug Resistance1178-69732023-04-01Volume 162429243283288Pneumothorax with Eosinophilia is an Important Diagnostic Clue for Distinguishing Paragonimiasis from Chronic Eosinophilic Pneumonia: A Case ReportSakakura SYamaguchi FAbe TCho HShimizu SMase AShikama YMaruyama HShunsuke Sakakura,1,* Fumihiro Yamaguchi,1,* Takashi Abe,1 Hidekazu Cho,1 Shohei Shimizu,1 Ayaka Mase,1 Yusuke Shikama,1 Haruhiko Maruyama2 1Department of Respiratory Medicine, Showa University Fujigaoka Hospital, Yokohama, Japan; 2Division of Parasitology, Department of Infectious Diseases, Graduate School of Medicine and Veterinary Medicine, University of Miyazaki, Miyazaki, Japan*These authors contributed equally to this workCorrespondence: Fumihiro Yamaguchi, Department of Respiratory Medicine, Showa University Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama, 227-8501, Japan, Tel +81-45-971-1151, Email f_y@med.showa-u.ac.jpAbstract: The Paragonimus westermani infection is a parasitic foodborne infection that induces systemic symptoms with eosinophilia in humans. Here, we described pneumothorax in addition to pulmonary opacities with eosinophilia in a man with a positive P. westermani serology. He was misdiagnosed with chronic eosinophilic pneumonia (CEP) during the initial phase. Paragonimiasis can share similar clinical findings with CEP in cases where the worm is confined to the lungs. The findings of the current study suggest that paragonimiasis and CEP can be distinguished from each other by the presence of various symptoms. Notably, eosinophilia with pneumothorax should be an important diagnostic factor for paragonimiasis.Keywords: Paragonimus westermani, chronic eosinophilic pneumonia, paragonimiasis, pneumothoraxhttps://www.dovepress.com/pneumothorax-with-eosinophilia-is-an-important-diagnostic-clue-for-dis-peer-reviewed-fulltext-article-IDRparagonimus westermanichronic eosinophilic pneumoniaparagonimiasispneumothorax. |
| spellingShingle | Sakakura S Yamaguchi F Abe T Cho H Shimizu S Mase A Shikama Y Maruyama H Pneumothorax with Eosinophilia is an Important Diagnostic Clue for Distinguishing Paragonimiasis from Chronic Eosinophilic Pneumonia: A Case Report Infection and Drug Resistance paragonimus westermani chronic eosinophilic pneumonia paragonimiasis pneumothorax. |
| title | Pneumothorax with Eosinophilia is an Important Diagnostic Clue for Distinguishing Paragonimiasis from Chronic Eosinophilic Pneumonia: A Case Report |
| title_full | Pneumothorax with Eosinophilia is an Important Diagnostic Clue for Distinguishing Paragonimiasis from Chronic Eosinophilic Pneumonia: A Case Report |
| title_fullStr | Pneumothorax with Eosinophilia is an Important Diagnostic Clue for Distinguishing Paragonimiasis from Chronic Eosinophilic Pneumonia: A Case Report |
| title_full_unstemmed | Pneumothorax with Eosinophilia is an Important Diagnostic Clue for Distinguishing Paragonimiasis from Chronic Eosinophilic Pneumonia: A Case Report |
| title_short | Pneumothorax with Eosinophilia is an Important Diagnostic Clue for Distinguishing Paragonimiasis from Chronic Eosinophilic Pneumonia: A Case Report |
| title_sort | pneumothorax with eosinophilia is an important diagnostic clue for distinguishing paragonimiasis from chronic eosinophilic pneumonia a case report |
| topic | paragonimus westermani chronic eosinophilic pneumonia paragonimiasis pneumothorax. |
| url | https://www.dovepress.com/pneumothorax-with-eosinophilia-is-an-important-diagnostic-clue-for-dis-peer-reviewed-fulltext-article-IDR |
| work_keys_str_mv | AT sakakuras pneumothoraxwitheosinophiliaisanimportantdiagnosticcluefordistinguishingparagonimiasisfromchroniceosinophilicpneumoniaacasereport AT yamaguchif pneumothoraxwitheosinophiliaisanimportantdiagnosticcluefordistinguishingparagonimiasisfromchroniceosinophilicpneumoniaacasereport AT abet pneumothoraxwitheosinophiliaisanimportantdiagnosticcluefordistinguishingparagonimiasisfromchroniceosinophilicpneumoniaacasereport AT choh pneumothoraxwitheosinophiliaisanimportantdiagnosticcluefordistinguishingparagonimiasisfromchroniceosinophilicpneumoniaacasereport AT shimizus pneumothoraxwitheosinophiliaisanimportantdiagnosticcluefordistinguishingparagonimiasisfromchroniceosinophilicpneumoniaacasereport AT masea pneumothoraxwitheosinophiliaisanimportantdiagnosticcluefordistinguishingparagonimiasisfromchroniceosinophilicpneumoniaacasereport AT shikamay pneumothoraxwitheosinophiliaisanimportantdiagnosticcluefordistinguishingparagonimiasisfromchroniceosinophilicpneumoniaacasereport AT maruyamah pneumothoraxwitheosinophiliaisanimportantdiagnosticcluefordistinguishingparagonimiasisfromchroniceosinophilicpneumoniaacasereport |