Pleuropulmonary paragonimiasis with multiple nodules in the pleura

Hiroaki Ogata, Eiji Harada, Soichiro Moriya, Satoru Fukuyama, Kunihiro Suzuki, Yoshimasa Shiraishi, Hiroyuki Ando, Kazuyasu Uryu, Seiji Shinozaki, Maako Ide, Aiko Sakamoto, Takayuki Nakanishi, Naoki Hamada, Yasuto Yoneshima, keiichi ota, Kenichi Kouhashi, Yuki Tateishi, Yu Miyashita, Yoshinao Oda, Koichiro Matsumoto

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)


An asymptomatic 47-year-old woman was admitted with pleural effusion and pulmonary infiltrates 1 month after ingesting raw wild boar and deer meat. Both her blood and pleural fluid were eosinophilic. Thoracoscopy revealed multiple nodules of the pleura, and biopsy samples of the nodules showed necrosis with epithelioid cell granulomas. An enzyme-linked immunosorbent assay was positive for antibodies against Paragonimus westermani, and the patient was successfully treated with praziquantel. This is the first reported case of pulmonary or pleuropulmonary paragonimiasis where several pleural nodules were observed. The detection of pleural nodules on thoracoscopy can contribute to the prompt and accurate diagnosis of paragonimiasis.

Original languageEnglish
Pages (from-to)1879-1881
Number of pages3
JournalInternal Medicine
Issue number15
Publication statusPublished - 2020

All Science Journal Classification (ASJC) codes

  • Internal Medicine


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