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Serial CT findings of Paragonimus infested dogs and the Micro-CT findings of the worm cysts

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Authors
Lee, Chang Hyun; Im, Jung-Gi; Goo, Jin Mo; Lee, Hyun Ju; Hong, Sung-Tae; Shen, Cheng Hua; Chung, Doo Hyun; Son, Kyu Ri; Chang, Jung Min; Eo, Hong
Issue Date
2007-10-10
Publisher
Korean Radiological Society
Citation
Korean J Radiol. 2007 Sep-Oct;8(5):372-81.
Keywords
AnimalsContrast Media/administration & dosageCysts/*parasitology/*radiographyDisease ProgressionDogsFemaleFollow-Up StudiesHydropneumothorax/parasitologyIohexol/analogs & derivatives/diagnostic useLung/parasitology/radiographyMaleObserver VariationParagonimiasis/*diagnosis/parasitologyParagonimus westermani/growth & development/isolation & purificationPleural Effusion/parasitologyRadiographic Image Enhancement/methodsTime FactorsTomography, X-Ray Computed/*methods
Abstract
OBJECTIVE: To investigate the serial CT findings of Paragonimus westermani infected dogs and the microscopic structures of the worm cysts using Micro-CT. MATERIALS AND METHODS: This study was approved by the committee on animal research at our institution. Fifteen dogs infected with P. westermani underwent serial contrast-enhanced CT scans at pre-infection, after 10 days of infection, and monthly thereafter until six months for determining the radiologic-pathologic correlation. Three dogs (one dog each time) were sacrificed at 1, 3 and 6 months, respectively. After fixation of the lungs, both multi-detector CT and Micro-CT were performed for examining the worm cysts. RESULTS: The initial findings were pleural effusion and/or subpleural ground-glass opacities or linear opacities at day 10. At day 30, subpleural and peribronchial nodules appeared with hydropneumothorax and abdominal or chest wall air bubbles. Cavitary change and bronchial dilatation began to be seen on CT scan at day 30 and this was mostly seen together with mediastinal lymphadenopathy at day 60. Thereafter, subpleural ground-glass opacities and nodules with or without cavitary changes were persistently observed until day 180. After cavitary change of the nodules, the migratory features of the subpleural or peribronchial nodules were seen on all the serial CT scans. Micro-CT showed that the cyst wall contained dilated interconnected tubular structures, which had communications with the cavity and the adjacent distal bronchus. CONCLUSION: The CT findings of paragonimiasis depend on the migratory stage of the worms. The worm cyst can have numerous interconnected tubular channels within its own wall and these channels have connections with the cavity and the adjacent distal bronchus.
ISSN
1229-6929 (Print)
Language
English
URI
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=17923779

http://hdl.handle.net/10371/29788
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College of Medicine/School of Medicine (의과대학/대학원)Parasitology and Tropical Medicine (기생충학전공)Journal Papers (저널논문_기생충학전공)
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