Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2023 Sep-Oct;79(5):590-592.
doi: 10.1016/j.mjafi.2021.02.009. Epub 2021 May 20.

An unusual presentation of pulmonary nodules

Vikas Marwah  1 , C D S Katoch  2 , V Shrinath  3 , Saikat Bhattacharjee  4 , Mahima Lall  5
Affiliations
Case Reports

An unusual presentation of pulmonary nodules

Vikas Marwah et al. Med J Armed Forces India. 2023 Sep-Oct.

Abstract

A pulmonary nodule is a common radiological finding encountered in routine medical practice. It needs to be extensively evaluated as the differential diagnosis can range from sinister malignancies to fully treatable infectious causes. Here, we present a rare case of pulmonary paragonimiasis presenting as pulmonary nodule. This case report aims to sensitise the medical practitioner regarding pulmonary paragonimiasis which is completely treatable but carries a high risk of being under diagnosed.

Keywords: Granulomatous lesion; Paragonimiasis; Pulmonary nodule.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
(A) Chest radiography (posteroanterior view) showing a pulmonary nodule in the right middle zone. (B) Chest radiography (posteroanterior view) taken after three months of treatment showing resolution of the pulmonary nodule in the right middle zone.
Fig. 2
Fig. 2
Photomicrograph of computed tomography–guided biopsy from nodular lesion stained with haematoxylin-eosin stain showing granulomatous lesion (x100).
Fig. 3
Fig. 3
High-resolution computed tomography of the chest showing a pulmonary nodule with the burrow tract in the superior segment of the right lower lobe.
Fig. 4
Fig. 4
Iodine mount of bronchoalveolar lavage showing operculated eggs of Paragonimus (40x).
See this image and copyright information in PMC

References

    1. Marwah V., Vasan A.S., Garg Y., Katoch C.D.S., Shergill S.P.S. Pulmonary paragonimiasis: a great masquerader. Indian J Chest Dis Allied Sci. 2019;61:97–99.
    1. Roy P., Praharaj A.K., Dubey S. An unusual case of human paragonimiasis. Med J Armed Forces India. 2015;71(suppl 1):S60. - PMC - PubMed
    1. Vardhan V., Garg S. Endemic hemoptysis. Med J Armed Forces India. 2007;63(2):193. - PMC - PubMed
    1. Karki A., Shah R., Fein A. Multiple pulmonary nodules in malignancy. Curr Opin Pulm Med. 2017;23(4):285–289. - PubMed
    1. Itoh N., Tsukahara M., Yamasaki H., Morishima Y., Sugiyama H., Kurai H. Paragonimus westermani infection mimicking recurrent lung cancer: a case report. J Infect Chemother. 2016;22(12):815–818. - PubMed

Publication types

LinkOut - more resources