Files and links (1)
Accepted (AM)Open Access (License Unspecified), Open
Journal article
Chest CT Features of North American Paragonimiasis
American journal of roentgenology (1976), v 198(5), pp 1076-1083
01 May 2012
PMID: 22528896
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
OBJECTIVE. The purpose of this study was to characterize the chest CT findings of North American paragonimiasis due to Paragonimus kellicotti in the largest (to our knowledge) case series reported to date and to compare the findings with those reported for paragonimiasis infections in other regions.
MATERIALS AND METHODS. A retrospective review was performed of chest CT examinations of eight patients with North American paragonimiasis treated at our institution between 2006 and 2010. Findings were characterized by site of involvement, including lungs and pleura, heart and pericardium, lymph nodes, and upper abdomen.
RESULTS. The most common chest CT findings in this case series were pleural effusions and internal mammary and cardiophrenic lymphadenopathy. Pulmonary parenchymal findings included peripheral lung nodules of 1-3.5 cm in size with surrounding ground-glass opacity; many nodules had a linear track to the pleural surface that may correspond to the worm's burrow tunnel. Pericardial involvement (5/8 patients) and omental inflammation (5/7 patients), which are uncommon in Asian paragonimiasis, were common in this series.
CONCLUSION. Pleural and pulmonary features of North American paragonimiasis are generally similar to those reported from Asia. The presence of a track between a pulmonary nodule and the pleura may help distinguish paragonimiasis from mimickers, including chronic eosinophilic pneumonia, tuberculosis, fungal infection, or malignancy. Pericarditis, lymphadenopathy, and omental inflammation were more common in our series than in reports on paragonimiasis from other regions. These differences may be related to the infecting parasite species or to the fact that radiologic examinations in the present series were performed relatively early in the course of infection.
Metrics
Details
- Title
- Chest CT Features of North American Paragonimiasis
- Creators
- Travis S. Henry - MallinckrodtMichael A. Lane - Washington Univ, Sch Med, Dept Internal Med, Div Infect Dis, St Louis, MO 63110 USAGary J. Weil - Washington Univ, Sch Med, Dept Internal Med, Div Infect Dis, St Louis, MO 63110 USAThomas C. Bailey - Washington Univ, Sch Med, Dept Internal Med, Div Infect Dis, St Louis, MO 63110 USASanjeev Bhalla - Washington Univ, Sch Med, Mallinckrodt Inst Radiol, St Louis, MO USA
- Publication Details
- American journal of roentgenology (1976), v 198(5), pp 1076-1083
- Publisher
- Amer Roentgen Ray Soc
- Number of pages
- 8
- Grant note
- KM1CA156708 / NATIONAL CANCER INSTITUTE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Cancer Institute (NCI) L30 AR063363 / NIAMS NIH HHS; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Arthritis & Musculoskeletal & Skin Diseases (NIAMS) KM1CA156708; KM1 CA156708 / NCI NIH HHS; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Cancer Institute (NCI) UL1TR000448 / NATIONAL CENTER FOR ADVANCING TRANSLATIONAL SCIENCES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Center for Advancing Translational Sciences (NCATS) KL2 TR000450; UL1 TR000448 / NCATS NIH HHS; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Center for Advancing Translational Sciences (NCATS)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Neurobiology and Anatomy
- Web of Science ID
- WOS:000303162800033
- Scopus ID
- 2-s2.0-84860347309
- Other Identifier
- 991019298998504721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Radiology, Nuclear Medicine & Medical Imaging