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J Med Assoc Thai ; 84(1): 130-5, 2001 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-11281492

RESUMO

Sparganosis has a world wide distribution, but only a few patients have pulmonary involvement. The term sparganosis is defined as an infection by the larva of parasitic tapeworms of Spirometra species. We present here-in a patient, who was infected by this parasite and had pulmonary symptoms. The chest roentgenography revealed diffuse multiple nodular infiltration with cavitations. Bronchoscopy with a transbronchial lung biopsy was nondiagnostic. Finally, open lung biopsy was performed, and the histologic examination revealed plerocercoid larva of sparganum. The patient was treated with mebendazole 40 mg/kg/day for 6 months and his symptoms and pulmonary function improved. In the 5th year of follow-up, he presented with more progressive dyspnea and developed cor pulmonale, and finally died from pneumonia with sepsis. The objective of this report was to present a rare manifestation of sparganosis and it's clinical course. Currently, there is no known effective treatment for this disease.


Assuntos
Bacteriemia/diagnóstico , Infecções por Klebsiella/diagnóstico , Pneumopatias Parasitárias/diagnóstico , Esparganose/diagnóstico , Adulto , Antibacterianos , Bacteriemia/tratamento farmacológico , Biópsia por Agulha , Progressão da Doença , Evolução Fatal , Seguimentos , Humanos , Infecções por Klebsiella/tratamento farmacológico , Pneumopatias Parasitárias/tratamento farmacológico , Pneumopatias Parasitárias/patologia , Masculino , Mebendazol/uso terapêutico , Testes de Função Respiratória , Esparganose/tratamento farmacológico , Esparganose/patologia , Tailândia
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