肺實質 助膜 및 大腦를 침범한 肺吸蟲症의 一例 = A case report of pulmonary paragonimiasis combined with exudative pleurisy and cerebral paragonimiasis

다국어 초록 (Multilingual Abstract)

Authors reports a case of pulmonary paragonimiasis combined with exudative pleurisy and cerebral paragonimiasis for the first time in Korea.
This case a very rare disease characterised by one side motor and sensory paralysis, exudative pleurisy and pulmonary infiltration by paragonimus westermani.
The patient was 49 years old man who entered to Jeonbug national university hospital with the chief complaints of much cough and dyspnea associated with complete motor and sensory paralysis of the left half body.
Chest-X-ray showed both lower lobe ifiltration with moderate effusion in the right side chast. Routine labolatory examminations including CBC, urine, AFB and parago ova in the sputum, skin test on parago antigen and chemical examminations of blood, pleural fluid and nophilia in eripheral blood and pleural fluid, and positive findings in parago skin test. In rous ova of paragonimus westemani were found. Pleural biopsy was done and the section disclosed diffuse fibrosis and chronic inflammatory cell infiltration.
Cerbral angiography and simple skull X-ray ere within normal limits.
Almost complete recovery of motor and sensory paralysis of extremity, exudative pleural effusion and pummonary infiltration by only Bithionol administration had gained on 50th hospital day.