Clinical Medicine
Diagnostic value of CT at early infection stage of thoracic and pulmonary paragonimiasis
Yibing Xie, Yongfei Zhou, Jialin Hong, Jingxuan Xu, Houzhang Sun, Jicheng Du, Qi Chen, Chongyong Xu
Published 2018-08-20
Cite as Chin J Endemiol, 2018, 37(8): 668-670. DOI: 10.3760/cma.j.issn.2095-4255.2018.08.016
Abstract
ObjectiveTo investigate the CT features of early infection stage of thoracic and pulmonary paragonimiasis.
MethodsMedical records of 56 patients with thoracic and pulmonary paragonimiasis from January 2010 to June 2017 were collected, and the patients were diagnosed and treated at Yongjia County People's Hospital, and the results of laboratory examination and CT imaging features were analyzed retrospectively.
ResultsThe absolute value of eosinophils in peripheral blood of 56 patients was (5.61 ± 3.18) × 109/L, and the percentage of eosinophils was (35.90 ± 19.16)%, all of which increased to varying degrees. Forty-two patients had different degrees of pleural effusion and 52 cases with lung lesions. Lung lesions demonstrated one or several kinds of foci at the same time, randomly distributed in the lung field, mostly located in the sub-pleural lung tissue. There were 12 cases with pulmonary ground glass shadow, 4 cases with peribronchitis, 31 cases with pulmonary invasive lesions and 28 cases with pulmonary nodular/strip shadow. The size of most nodules were 0.5 - 1.0 cm, accompanied with halo sign.
ConclusionsThe CT features of early infection stage of thoracic and pulmonary paragonimiasis are diverse. The size of 0.5 - 1.0 cm lung nodules with halo sign has certain characteristics in the diagnosis of paragonimiasis. Peribronchitis, infiltrative lesions, pleural effusion and increased peripheral blood eosinophil percentage can suggest diagnosis.
Key words:
Paragonimiasis; Thoracic diseases; Tomography, X-ray computed
Contributor Information
Yibing Xie
Department of Radiology, Yongjia County People's Hospital, Zhenjiang, Yongjia 325100, China
Yongfei Zhou
Department of Radiology, Yongjia County People's Hospital, Zhenjiang, Yongjia 325100, China
Jialin Hong
Clinical Laboratory, Yongjia County People's Hospital, Zhenjiang, Yongjia 325100, China
Jingxuan Xu
Department of Surgery, the Second Affiliated Hospital of Wenzhou Medical University, Wenzhou 325027, China
Houzhang Sun
Department of Radiology, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325035, China
Jicheng Du
Department of Radiology, Wenzhou Central Hospital, Wenzhou 325000, China
Qi Chen
Department of Radiology, the Second Affiliated Hospital of Wenzhou Medical University, Wenzhou 325027, China
Chongyong Xu
Department of Radiology, the Second Affiliated Hospital of Wenzhou Medical University, Wenzhou 325027, China