RISS 검색 - 국내학술지논문 상세보기

국문 초록 (Abstract)

우리나라에서 인기 있는 게장등의 섭취로2) 성인뿐만 아니라 소아에서도 지속적으로 보고되고 있는 폐흡충증은 다양한 임상양상을 보일 수 있다. 저자들은 방사선 소견상 만성 호산구성 폐렴과 유사하였고, 반복적인 치료로 호전된 폐흡충증 1예를 경험하였기에 보고하는 바이다.

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우리나라에서 인기 있는 게장등의 섭취로2) 성인뿐만 아니라 소아에서도 지속적으로 보고되고 있는 폐흡충증은 다양한 임상양상을 보일 수 있다. 저자들은 방사선 소견상 만성 호산구성 폐...

다국어 초록 (Multilingual Abstract)

Paragonimiasis mostly occurs by ingestion of raw or undercooked freshwater crabs or crayfish. Recently, re-emergence of paragonimiasis is reported because of ingestion of raw food such as freshwater fish and Gejang (marinated raw crabs). As the radiological features as well as the laboratory findings are similar to those of chronic eosinophilic pneumonia, the diagnosis of pulmonary paragonimiasis is often difficult and delayed. A 43 year-old female was visited our hospital for migrating and new developing consolidative lung lesions and peripheral blood eosinophilia. The eosinophil profile of leukocyte was 32% (absolute count 2,690 /mm3). Histologic finding was organizing pneumonia pattern with severe infiltration of eosinophils. Parasite specific antibody IgG forParagonimus westermani was positive (titer:0.61, normal range<0.20). After treatment with praziquantel (75mg/Kg once a day for 2days), the chest x-ray was clearly resolved. Follow-up study showed right pleural effusion, newly developed focal infiltration, and several nodules. After retreatment, we couldn't find any recurrent evidence.

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목차 (Table of Contents)

서론
증례
고찰
요약
참고문헌

서론
증례
고찰
요약
참고문헌

참고문헌 (Reference)

1 손춘희, "호산구성 폐렴" 대한결핵및호흡기학회 64 (64): 177-186, 2008

2 김현수, "폐결핵으로 오인된 폐흡충증 1예" 대한결핵및호흡기학회 63 (63): 440-443, 2007

3 조계중, "세 차례 재발하여 4회 약물 요법으로 치료한 폐흡충증 1예" 대한결핵및호흡기학회 66 (66): 451-456, 2009

4 Meehan AM, "Severe pleuropulmonary paragonimiasis 8 years after emigration from a region of endemicity" 35 : 87-90, 2002

5 Singh TN, "Pleuropulmonary paragonimiasis mimicking pulmonary tuberculosis - A report of three cases" 23 : 131-134, 2005

6 Kim TS, "Pleuropulmonary Paragonimiasis, CT findings in 31 patients" 185 : 616-621, 2005

7 김은민, "Infection Status of Freshwater Crabs and Crayfish with Metacercariae of Paragonimus westermani in Korea" 대한기생충학ㆍ열대의학회 47 (47): 425-426, 2009

8 Cho SY, "Detection of Paragonimus-specific IgG antibody in CSF and pleural effusion by micro-ELISA" 21 : 286-288, 1983

9 Sumitani M, "A case of chronic pleuritis by Paragonimus westermani infection resistant to standard chemotherapy and cured by three additional cycles of chemotherapy" 43 : 427-431, 2005

10 Boé DM, "A 31-year-old man with chronic cough and hemoptysis" 132 : 721-726, 2007