摘要
Abstract
Objective To investigate the clinical features,diagnosis,differential diagnosis,causes of misdiagnosis and preventive measures of pulmonary paragonimiasis.Methods The clinical data of 4 patients with pulmonary paragonimia-sis who had been misdiagnosed from January,2013 to August,2022 were retrospectively analyzed.Results The clinical manifestations were fever,cough,bloody sputum,and hemoptysis in 1 case,cough,sputum,and abdominal pain in 1 case,cough and shortness of breath in 1 case,and repeated pain in the left lower chest in 1 case.There were 3 cases with coarse breathing sound and 2 cases with audible moist rales.Eosinophils in peripheral blood increased significantly,and erythrocyte sedimentation rate increased rapidly.Chest CT examination showed lung lesions.In this group,2 cases were misdiagnosed as pulmonary tuberculosis,1 case as eosinophilic granuloma and 1 case as tumor in other hospitals.Misdiagnosis lasted from 2 to 144 months.According to the history and positive liver fluke IgG antibody,2 cases were confirmed,and 1 case was confirmed by the second generation sequencing and pathological examination of alveolar lavage fluid.All 4 cases were treated with Praz-iquantel after diagnosis.Conclusion Pulmonary paragonimiasis is more likely to be misdiagnosed in clinical practice.In or-der to reduce or avoid misdiagnosis and treatment,the attending physician should take a comprehensive history and improve the awareness and vigilance of the disease.关键词
并殖吸虫病/肺/误诊/结核,肺/嗜酸细胞肉芽肿/肿瘤/嗜酸粒细胞/体层摄影术,螺旋计算机Key words
Paragonimiasis/Pulmonary/Misdiagnosis/Tuberculosis,pulmonary/Eosinophilic granuloma/Neo-plasms/Eosinophilic/Tomography,spiral computed分类
临床医学
