Pulmonary
Paragonimiasis
Radiologic
Findings
Solitary
pulmonary nodule (<2cm) - lobulated contour, inhomogeneous
& significant CE
No satellite nodule
No mediastinal LAP
No pleural effusion
Pathologic
Findings
Brief
Discussions
Epidemiology
Southeast Asia
Korea, Japan, China,
Philippines, Taiwan
Infected cause
raw
or undercooked crabs or crayfish
Symptoms - cough, dyspnea, chest
pain
Lab findings
eosinophilia(>500 cells/mm3)
pleural fluid
eosinophilia, low sugar level, low pH, high protein and LDH levels
sputum
exam, ELISA
Radiology
Normal (20%)
Pulmonary
lesions - parenchymal opacity, cystic lesion; thin walled ring shadow, crescent-shaped
or oval opacity, single or multiple nodule, linear opacity (burrow tract),
Pleural
lesions, effusion, thickening, hydropneumothorax