Oh MY, Chu A, Park JH, Lee JY, Roh EY, Chai YJ, Hwang KT. Simultaneous Paragonimus infection involving the breast and lung: A case report. World J Clin Cases 2019; 7(24): 4292-4298 [PMID: 31911910 DOI: 10.12998/wjcc.v7.i24.4292]
Corresponding Author of This Article
Ki-Tae Hwang, MD, PhD, Doctor, Department of Surgery, Seoul Metropolitan Government Seoul National University Boramae Medical Center 39, Boramae-Gil, Dongjak-gu, Seoul 156707, South Korea. kiterius@snu.ac.kr
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Dec 26, 2019; 7(24): 4292-4298 Published online Dec 26, 2019. doi: 10.12998/wjcc.v7.i24.4292
Simultaneous Paragonimus infection involving the breast and lung: A case report
Moon Young Oh, Ajung Chu, Jeong Hwan Park, Jong Yoon Lee, Eun Youn Roh, Young Jun Chai, Ki-Tae Hwang
Moon Young Oh, Department of Surgery, Seoul National University Hospital, Seoul 156707, South Korea
Ajung Chu, Jong Yoon Lee, Department of Radiology, Seoul Metropolitan Government Seoul National University Boramae Medical Center, Seoul 156707, South Korea
Jeong Hwan Park, Department of Pathology, Seoul Metropolitan Government Seoul National University Boramae Medical Center, Seoul 156707, South Korea
Eun Youn Roh, Department of Laboratory Medicine, Seoul Metropolitan Government Seoul National University Boramae Medical Center, Seoul 156707, South Korea
Young Jun Chai, Ki-Tae Hwang, Department of Surgery, Seoul Metropolitan Government Seoul National University Boramae Medical Center, Seoul 156707, South Korea
Author contributions: Hwang KT designed this study and supervised all processes of this work; Oh MY reviewed the literature and contributed to manuscript drafting; Chu A and Lee JY interpreted the imaging findings; Park JH interpreted the pathological findings; Roh EY provided the patient’s lab results; Chai YJ contributed to manuscript editing; all authors read and approved the final manuscript.
Informed consent statement: The institutional review boards approved this study (Seoul Metropolitan Government Seoul National University Boramae Medical Center, 30-2018-102) with a Waiver of Consent.
Conflict-of-interest statement: The authors declare that no actual or potential conflict of interest exists.
CARE Checklist (2016) statement: The manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Ki-Tae Hwang, MD, PhD, Doctor, Department of Surgery, Seoul Metropolitan Government Seoul National University Boramae Medical Center 39, Boramae-Gil, Dongjak-gu, Seoul 156707, South Korea. kiterius@snu.ac.kr
Telephone: +82-2-8702275 Fax: +82-2-8312826
Received: June 3, 2019 Peer-review started: June 5, 2019 First decision: October 24, 2019 Revised: November 22, 2019 Accepted: November 26, 2019 Article in press: November 26, 2019 Published online: December 26, 2019 Processing time: 205 Days and 6.1 Hours
Abstract
BACKGROUND
Paragonimiasis is a food-borne parasitic infection caused by lung flukes of the genus Paragonimus. Although the most common site of infection is the pleuropulmonary area, the parasite can also reach other parts of the body on its journey from the intestines to the lungs, ending up in locations such as the brain, abdomen, skin, and subcutaneous tissues. Ectopic paragonimiasis is difficult to diagnose due to the rarity of this disease.
CASE SUMMARY
Here, we report a rare case of simultaneous breast and pulmonary paragonimiasis in a woman presenting painless breast mass and lung nodule with a history of eating raw trout. To confirm the diagnosis, serologic testing and tissue confirmation of the breast mass were performed. The patient was treated with surgical resection of the mass and praziquantel medication.
CONCLUSION
Ectopic paragonimiasis is difficult to diagnose due to the rarity of this disease. Thus, thorough history-taking and clinical suspicion of parasitic infection are important.
Core tip: Paragonimiasis is a parasitic infection caused by lung flukes of genus Paragonimus. Paragonimiasis is an important food-borne worldwide disease. It has been estimated that 22.8 million people worldwide are at risk of paragonimiasis. Here we present a rare case of simultaneous breast and pulmonary paragonimiasis in a woman presenting with a painless breast mass and a lung nodule, who has a history of eating raw trout. To confirm the diagnosis, serologic testing and tissue confirmation of the breast mass were performed. The patient was treated with surgical resection of the mass and praziquantel medication. Because of the rarity of ectopic paragonimiasis, history-taking and clinical suspicion of parasitic infection are important.
