Article in Japanese

A case of cerebral paragonimiasis caused by Paragonimus westermani with a brain lesion which led to a diagnosis

Junichiro TSURUOKA^1,2), Tetsuo MIYAKE^1,2), Yusuke MIYAJI^1,2), Yukitsugu NAKAMURA²⁾, Syuji HASHIMOTO^1,2), Satoshi TATEYAMA²⁾, Yachiyo KURIHARA^1,2), Tadaomi TOKUTAKE²⁾, Akira ISHIDA^3,4), Yuko KOMASE^3,4), Masashi TAKI^1,2), Tatsuo KATO^2,5)

The patient was a seven-year-old girl who presented with an encephaloma, in whom a brain tumor was suspected and a craniotomy enucleation was performed. However, the histopathological findings of the resected specimen were not consistent with a brain tumor, and the brain lesion was diagnosed as cerebral paragonimiasis caused by Paragonimus westermani by using immunological ELISA. This case underscores the importance of bearing in mind cerebral paragonimiasis in the differential diagnosis of encephalomas associated with the symptoms and imaging findings of brain tumor such as headache, vomiting, convulsions, etc. A careful and detailed diet and travel history should be obtained, with examination of the peripheral blood eosinophil count, serum IgE levels, etc.

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1) Department of Pediatrics, St. Marianna University School of Medicine, Yokohama City Seibu Hospital
2) Department of Pediatrics, St. Marianna University School of Medicine
3) Department of Respiratory Medicine, St. Marianna University School of Medicine, Yokohama City Seibu Hospital
4) Department of Respiratory Medicine, St. Marianna University School of Medicine
5) National Center for Child Health and Development

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Received	May 19, 2011
Accepted	September 22, 2011

24 (1)：19─23,2012