Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
Paragonimiasis Westermani with Multifocal Lesions in Lungs and Skin
Jun-ichi ASHITANIKenshi KUMAMOTOShigeru MATSUKURA
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2000 Volume 39 Issue 5 Pages 433-436

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Abstract

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.
(Internal Medicine 39: 433-136, 2000)

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