A case report of pulmonary paragonimiasis diagnosed via the deterioration of pulmonary cavities during high-dose corticosteroid therapy for chronic eosinophilic pneumonia
A 32-year-old Chinese woman with a cough and bloody sputum was diagnosed with chronic eosinophilic pneumonia. After starting corticosteroid therapy, chest radiography showed improvement in the bilateral infiltrative shadow. However, chest image findings showed worsening of the bilateral infiltrative...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-01-01
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| Series: | Annals of Thoracic Medicine |
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| Online Access: | https://journals.lww.com/10.4103/atm.atm_146_24 |
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| _version_ | 1832087682485846016 |
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| author | Takehiro Hashimoto Akira Nishizono Kazufumi Hiramatsu |
| author_facet | Takehiro Hashimoto Akira Nishizono Kazufumi Hiramatsu |
| author_sort | Takehiro Hashimoto |
| collection | DOAJ |
| description | A 32-year-old Chinese woman with a cough and bloody sputum was diagnosed with chronic eosinophilic pneumonia. After starting corticosteroid therapy, chest radiography showed improvement in the bilateral infiltrative shadow. However, chest image findings showed worsening of the bilateral infiltrative shadow and pulmonary cavities during the 20 mg/day of oral prednisolone therapy. Transbronchial lung biopsy and bronchoalveolar lavage were repeated, and the patient was diagnosed with pulmonary paragonimiasis. After starting praziquantel treatment, chest radiography findings and clinical symptoms improved. Careful follow-up during corticosteroid therapy is important to judge whether transient improvement and true deterioration of radiological findings. |
| format | Article |
| id | doaj-art-2ddb8fc956324343a8b893850146bbd0 |
| institution | Kabale University |
| issn | 1817-1737 1998-3557 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Annals of Thoracic Medicine |
| spelling | doaj-art-2ddb8fc956324343a8b893850146bbd02025-02-06T04:51:14ZengWolters Kluwer Medknow PublicationsAnnals of Thoracic Medicine1817-17371998-35572025-01-01201747710.4103/atm.atm_146_24A case report of pulmonary paragonimiasis diagnosed via the deterioration of pulmonary cavities during high-dose corticosteroid therapy for chronic eosinophilic pneumoniaTakehiro HashimotoAkira NishizonoKazufumi HiramatsuA 32-year-old Chinese woman with a cough and bloody sputum was diagnosed with chronic eosinophilic pneumonia. After starting corticosteroid therapy, chest radiography showed improvement in the bilateral infiltrative shadow. However, chest image findings showed worsening of the bilateral infiltrative shadow and pulmonary cavities during the 20 mg/day of oral prednisolone therapy. Transbronchial lung biopsy and bronchoalveolar lavage were repeated, and the patient was diagnosed with pulmonary paragonimiasis. After starting praziquantel treatment, chest radiography findings and clinical symptoms improved. Careful follow-up during corticosteroid therapy is important to judge whether transient improvement and true deterioration of radiological findings.https://journals.lww.com/10.4103/atm.atm_146_24chronic eosinophilic pneumoniacorticosteroid therapyparagonimus ovapulmonary paragonimiasis |
| spellingShingle | Takehiro Hashimoto Akira Nishizono Kazufumi Hiramatsu A case report of pulmonary paragonimiasis diagnosed via the deterioration of pulmonary cavities during high-dose corticosteroid therapy for chronic eosinophilic pneumonia Annals of Thoracic Medicine chronic eosinophilic pneumonia corticosteroid therapy paragonimus ova pulmonary paragonimiasis |
| title | A case report of pulmonary paragonimiasis diagnosed via the deterioration of pulmonary cavities during high-dose corticosteroid therapy for chronic eosinophilic pneumonia |
| title_full | A case report of pulmonary paragonimiasis diagnosed via the deterioration of pulmonary cavities during high-dose corticosteroid therapy for chronic eosinophilic pneumonia |
| title_fullStr | A case report of pulmonary paragonimiasis diagnosed via the deterioration of pulmonary cavities during high-dose corticosteroid therapy for chronic eosinophilic pneumonia |
| title_full_unstemmed | A case report of pulmonary paragonimiasis diagnosed via the deterioration of pulmonary cavities during high-dose corticosteroid therapy for chronic eosinophilic pneumonia |
| title_short | A case report of pulmonary paragonimiasis diagnosed via the deterioration of pulmonary cavities during high-dose corticosteroid therapy for chronic eosinophilic pneumonia |
| title_sort | case report of pulmonary paragonimiasis diagnosed via the deterioration of pulmonary cavities during high dose corticosteroid therapy for chronic eosinophilic pneumonia |
| topic | chronic eosinophilic pneumonia corticosteroid therapy paragonimus ova pulmonary paragonimiasis |
| url | https://journals.lww.com/10.4103/atm.atm_146_24 |
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