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Oh, Kim, Cho, Cha, Kim, Oh, Chin, Choi, and Kwon: A Case of Pulmonary Sparganosis in a Patient with a History of Recurrent Sparganum Infections
Case Report
Tuberculosis and Respiratory Diseases

Tuberculosis and Respiratory Diseases 2009; 67(3): 229-233.

Published online: 30 September 2009

DOI: https://doi.org/10.4046/trd.2009.67.3.229

A Case of Pulmonary Sparganosis in a Patient with a History of Recurrent Sparganum Infections

Yun-Jung Oh, M.D.1, Mi-Jin Kim, M.D.1, Jun-Hyung Cho, M.D.1, Chi-Woon Cha, M.D.1, Do-Hoon Kim, M.D.1, Mi-Jung Oh, M.D.1, Jae-Yong Chin, M.D.1, Sung-Sil Choi, M.D.2, Kye-Won Kwon, M.D.3

1Department of Internal Medicine, Bundang Jesaeng General Hospital, Daejin Medical Center, Seongnam, Korea.

2Department of Thoracic Surgery, Bundang Jesaeng General Hospital, Daejin Medical Center, Seongnam, Korea.

3Department of Pathology, Bundang Jesaeng General Hospital, Daejin Medical Center, Seongnam, Korea.

Address for correspondence: Do-Hoon Kim, M.D. Department of Internal Medicine, Bundang Jesaeng General Hospital, 255-2, Seohyun-dong, Bundang-gu, Seongnam 463-774, Korea. Phone: 82-31-779-0387, Fax: 82-31-779-0897, dhkim@dmc.or.kr

Received 2 July 2009       Accepted 11 August 2009

Copyright©2009. The Korean Academy of Tuberculosis and Respiratory Diseases. All rights reserved.

Abstract

Sparganosis is a zoonosis caused by the migrating larvae of cestode genus Spirometra. We report a rare form of sparganosis that invades the lung. A 44-year-old man presented with newly appeared pulmonary nodules that were found accidentally on regular medical checkup, and on sequential chest CT, which we checked at an interval of every 2 months, revealed that the pulmonary lesion had migrated. The patient had a medical history of having undergone surgical excisions for sparganosis in muscles and in subcutaneous tissues of the lower abdomen, perianus, thigh, right axilla, and scapula area, several times over 7 years. A right middle lobectomy was performed and the lesion was diagnosed as sparganosis based on the characteristic histological findings.

Keywords: Lung , Sparganosis, Recurrence

Figures and Tables

Figure 1
Initial chest CT scan shows about 1 cm sized two lobulated consolidative lesions with peripheral ground glass opacity and halo on right middle lobe that is adjacent to mediastium (A, B). A follow-up chest CT scan reveals newly appeared elongated consolidations on a different site of right middle lobe with disappearance of previous lesions compared with initial scan, suggesting the lesions have a fleeting nature (C, D).
trd-67-229-g001
Figure 2
(A) An elongated necrotic material surrounded by palisading granulomatous reaction is noted (H&E stain, ×40). (B) A few lamellated calcospherules are found in the necrotic material (H&E stain, ×400).
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Table 1
Summary of past medical history
trd-67-229-i001

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