ArticleThe Korean journal of internal medicine2015
Pleural fluid characteristics of pleuropulmonary paragonimiasis masquerading as pleural tuberculosis.
Article in The Korean journal of internal medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 26 citations in OpenAlex.
- Occupational exposure to freshwater crustaceans as a route of paragonimiasis presenting with eosinophilic pleural effusion misdiagnosed as tuberculous pleurisy: A case report and literature review.Experimental and therapeutic medicine · 2026Article
- Eosinophilic pleural effusion in an individual in a high tuberculosis-burden country.Breathe (Sheffield, England) · 2026Article
- Case Report: Definitive diagnosis of pulmonary parasitic infection via cytomorphology and histopathology in a patient with non-specific pulmonary nodules and hemoptysis after raw deer blood consumption.Frontiers in medicine · 2026Article
- Pulmonary paragonimiasis presenting as massive empyema requiring decortication in an adolescent: a case report.Journal of medical case reports · 2025Article
- A case of complicated parapneumonic pleural effusion caused by paragonimus infection in a child was successfully treated by intrapleural injection of urokinase: a case report and literature review.Frontiers in pediatrics · 2025Article
- Paragonimiasis.Advances in experimental medicine and biology · 2024Review
- Immunoblotting Identification of Diagnostic Antigens ofTropical medicine and infectious disease · 2023Article
- Case Report: Reemerging Paragonimiasis in Umphang District, Thailand.The American journal of tropical medicine and hygiene · 2023Article
- Pulmonary Paragonimiasis: A Case Series.JNMA; journal of the Nepal Medical Association · 2023Article
- An explanation of the 15-year trend and investigation of the tuberculosis cascade in Kurdistan province.Journal of clinical tuberculosis and other mycobacterial diseases · 2022Article
- What Findings on Chest CTs Can Delay Diagnosis of Pleuropulmonary Paragonimiasis?Tomography (Ann Arbor, Mich.) · 2022Article
- Case Report: Intermittent Chest Pain With Cough, Fever, and Pericardial Effusion Over the Course of 1 Year in an 11-Year-Old Girl.Frontiers in pediatrics · 2022Article
- Pleuropulmonary Paragonimiasis with Multiple Nodules in the Pleura.Internal medicine (Tokyo, Japan) · 2020Article
- Retrospective study of pleural parasitic infestations: a practical diagnostic approach.BMC infectious diseases · 2019Article
- Bronchodilator Reversibility Occurring during the Acute Phase of Paragonimiasis westermani Infection.Internal medicine (Tokyo, Japan) · 2019Article
- Paragonimiasis in Children in Southwest China: A retrospective case reports review from 2005 to 2016.Medicine · 2017Article
- Demographic characteristic and analysis of pulmonary paragonimiasis in patients attending RIMS, Manipur.Lung India : official organ of Indian Chest SocietyArticle
- Clinical, Laboratory and Radiological Features of Paragonimiasis Misdiagnosed as Pulmonary Tuberculosis.Iranian journal of parasitologyArticle
- The mystery of migrating pleural effusion: Diagnosing the improbable.Tropical parasitologyArticle
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND/
aimsPleuropulmonary paragonimiasis produces no specific symptoms or radiologic findings, allowing for the possibility of misdiagnosis. We evaluated the specific clinical and pleural fluid features of pleuropulmonary paragonimiasis masquerading as pleural tuberculosis.
methodsWe retrospectively analyzed the clinical and radiologic characteristics of 20 patients diagnosed with pleuropulmonary paragonimiasis between 2001 and 2011.
resultsIn total, 17 patients presented with respiratory symptoms, including dyspnea (30%), hemoptysis (20%), cough (20%), and pleuritic chest pain (15%). Chest radiographs revealed intrapulmonary parenchymal lesions, including air-space consolidation (30%), nodular opacities (20%), cystic lesions (15%), ground-glass opacities (10%), and pneumothorax (5%). A pleural fluid examination revealed eosinophilia, low glucose levels, and high lactate dehydrogenase (LDH) levels in 87%, 76%, and 88% of the patients, respectively. These traits helped to distinguish pleuropulmonary paragonimiasis from other pleural diseases such as parapneumonic effusion, malignancy, and pleural tuberculosis.
conclusionsPleuropulmonary paragonimiasis is often initially misdiagnosed as other pleural diseases. Therefore, it is important to establish the correct diagnosis. In patients with unexplained pleural effusion living in paragonimiasis-endemic areas, pleural fluid obtained by thoracentesis should be examined to distinguish pleuropulmonary paragonimiasis. When marked eosinophilia, high LDH levels, and low glucose levels are identified in pleural fluid, physicians could consider a diagnosis of pleuropulmonary paragonimiasis.
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