J Med Life Sci > Volume 17(1); 2020 > Article
Journal of Medicine and Life Science 2020;17(1):25-28.
DOI: https://doi.org/10.22730/jmls.2020.17.1.25    Published online April 30, 2020.
폐흡충증으로 인한 대량 기흉
임우희1, 김수완2
1제주대학교 의학전문대학원 의학과
2제주대학교 의학전문대학원 흉부외과학교실
Massive pneumothorax resulting from paragonimiasis
Woo Hee Lim1, Su Wan Kim2
1Jeju National University School of Medicine, Jeju, Republic of Korea
2Department of Thoracic and Cardiovascular Surgery, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, Republic of Korea
Correspondence:  Su Wan Kim, Tel: 82-64-754-8125, Fax: 82-64-757-8276,  Email: 95swan@hanmail.net
Abstract
The prevalence of pulmonary pargonimiasis in Korea has been steadily decreasing due to develop of the public health, and there have been few clinical cases of paragonimiasis infections, especially in pneumothorax. A 22-year-old man referred to emergency department for dyspnea and chest pain. The right lung was totally collapsed on a chest X-ray. We emergently performed a closed thoracostomy with a 28-Fr chest tube. However, the air leak from the chest tube persisted for three days after the closed thoracostomy. A chest computed tomography showed multiple subpleural consolidative nodular lesions and mixed ground-glass attenuation nodules. We potentially suspected a secondary pneumothorax resulting from pulmonary paragonimiasis infection because the patient was a Chinese. We decided to perform a medical treatment instead of pulmonary wedge resections. The air leak was discontinued three days after the prescription of praziquantel. The patient was discharged nine days after the admission. We suggest that anti-parasitic drugs are very effective in the secondary pneumothorax resulting from paragonimiasis.
Key Words: Parasitic, diseases, Pneumothorax, Thoracostomy
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