WEKO3
アイテム
Subcutaneous Migration in Paragonimiasis as a Diagnostic Clue in an Unusual Presentation: A Case Report
http://hdl.handle.net/10458/0002001889
http://hdl.handle.net/10458/0002001889a30f632e-5593-409e-a601-4405f810196f
| 名前 / ファイル | ライセンス | アクション |
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| アイテムタイプ | 学術雑誌論文 / Journal Article(1) | |||||||||||||||||||||||||
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| 公開日 | 2025-10-28 | |||||||||||||||||||||||||
| タイトル | ||||||||||||||||||||||||||
| タイトル | Subcutaneous Migration in Paragonimiasis as a Diagnostic Clue in an Unusual Presentation: A Case Report | |||||||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||||||
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| 言語 | eng | |||||||||||||||||||||||||
| キーワード | ||||||||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||||||
| キーワード | eosinophilia | |||||||||||||||||||||||||
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| 言語 | en | |||||||||||||||||||||||||
| キーワード | migration tract | |||||||||||||||||||||||||
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| 言語 | en | |||||||||||||||||||||||||
| キーワード | paragonimiasis | |||||||||||||||||||||||||
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| 言語 | en | |||||||||||||||||||||||||
| キーワード | praziquantel | |||||||||||||||||||||||||
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| 言語 | en | |||||||||||||||||||||||||
| キーワード | pseudochylothorax | |||||||||||||||||||||||||
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| 言語 | en | |||||||||||||||||||||||||
| キーワード | subcutaneous mass | |||||||||||||||||||||||||
| 資源タイプ | ||||||||||||||||||||||||||
| 資源タイプ | journal article | |||||||||||||||||||||||||
| アクセス権 | ||||||||||||||||||||||||||
| アクセス権 | open access | |||||||||||||||||||||||||
| 著者 |
Eguchi, Mako
× Eguchi, Mako
× Masumoto, Keisuke
× 小久保, 美緒
WEKO
34833
× 丸山, 治彦
WEKO
3231
× Morimoto, Satoru
× Mizuta, Yuichi
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| 抄録 | ||||||||||||||||||||||||||
| 内容記述タイプ | Abstract | |||||||||||||||||||||||||
| 内容記述 | Paragonimiasis is a foodborne parasitic infection caused by trematodes of the genus Paragonimus, primarily P. westermani and P. miyazakii in Japan. Though once endemic, its incidence has declined significantly in recent decades. However, globalization, changes in dietary customs, and an increase in foreign-born residents have contributed to the emergence of new cases, particularly in urban settings. We present a case of a 25-year-old man from Cambodia, living in Japan for two years as a technical intern trainee, who developed a productive cough and pleuritic chest pain. He reported consuming raw Japanese mitten crabs seven months earlier. Initially misdiagnosed with pneumonia, his symptoms persisted despite antibiotic therapy. CT imaging revealed pleural effusion, a cavitary lesion, and a linear tract consistent with worm migration. A subcutaneous abdominal mass was noted and surgically removed. Histopathological examination revealed eosinophilic infiltration and serpiginous necrosis, suggesting larval migration. Laboratory tests showed marked eosinophilia (11,011/μL), and pleural fluid analysis indicated pseudochylothorax. ELISA confirmed antibodies against P. westermani and P. miyazakii. The patient was treated with praziquantel, leading to complete clinical and radiological resolution. This case highlights the diagnostic challenges of paragonimiasis, especially with atypical presentations. Subcutaneous lesions are rare and often mimic benign tumors or other parasitic diseases, such as sparganosis or cysticercosis. The pulmonary findings may be confused with tuberculosis or eosinophilic pneumonia. Thus, thorough dietary and travel history-taking, cultural awareness, and a multidisciplinary diagnostic approach, including imaging, histology, and serology, are essential. Diagnosis of paragonimiasis should rely on a combination of clinical presentation, radiological findings, and serological testing, as ectopic manifestations are uncommon and may not be promptly recognized. This case underscores the need for heightened clinical awareness of re-emerging parasitic diseases in increasingly multicultural societies. |
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| 言語 | en | |||||||||||||||||||||||||
| 書誌情報 |
en : Cureus 巻 17, 号 8, p. e90032, 発行日 2025-08-13 |
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| 出版者 | ||||||||||||||||||||||||||
| 出版者 | Springer Science and Business Media LLC | |||||||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||||||
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| 収録物識別子タイプ | PISSN | |||||||||||||||||||||||||
| 収録物識別子 | 21688184 | |||||||||||||||||||||||||
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| 関連タイプ | isVersionOf | |||||||||||||||||||||||||
| 識別子タイプ | DOI | |||||||||||||||||||||||||
| 関連識別子 | https://doi.org/10.7759/cureus.90032 | |||||||||||||||||||||||||
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| 出版タイプ | VoR | |||||||||||||||||||||||||
