- A Case of Incidentally Diagnosed Adrenal Paragonimiasis.
-
Shin Ae Park, Seung Hwan Lee, Seung Hyun Ko, Jun Gi Kim, Soo Youn Park, Jin Young Yoo, Ho Woo Nam, Yu Bae Ahn
-
Endocrinol Metab. 2011;26(1):97-100. Published online March 1, 2011
-
DOI: https://doi.org/10.3803/EnM.2011.26.1.97
-
-
1,855
View
-
23
Download
-
3
Crossref
-
 Abstract
 PDF
- We report here on a rare case of adrenal paragonimiasis that presented with an adrenal incidentaloma. A 52-year-old male presented with fatigue and weight loss. The laboratory findings revealed eosinophilia (8.5%) and an increased eosinophil count (910/microL). The computed tomography scan showed 6.5 x 5 cm sized multilocular cystic mass in the right adrenal gland, which was non-functioning, and cystic lesions with variable sizes were also noted in the abdominal cavity. On the surgical field, whitish patches were spread out in the peritoneum, the omentum, the dome of the liver and the diaphragm. The right adrenal gland was replaced by a cystic mass filled with mucopurulent creamy materials. The pathologic findings revealed numerous eggs of Paragonimus spp. Also, the ELISA was positive for IgG paragonimus antibody. The adrenal gland can become infected by various microbial pathogens, including parasites, although it is relatively uncommon. However, in the case of a cystic adrenal mass with accompanying eosinophilia in an endemic area, clinicians should consider the possibility of parasitic infection.
-
Citations
Citations to this article as recorded by  - Paragonimus westermani infection manifesting as a pulmonary cavity and adrenal gland mass: A case report
Yong Shik Kwon, Hye Won Lee, Hyun Jung Kim
Journal of Infection and Chemotherapy.2019; 25(3): 200. CrossRef - A Case of Ectopic Peritoneal Paragonimiasis Mimicking Diverticulitis or Abdominal Abscess
Min Jae Kim, Sung-Han Kim, Sang-Oh Lee, Sang-Ho Choi, Yang Soo Kim, Jun Hee Woo, Yong Sik Yoon, Kyung Won Kim, Jaeeun Cho, Jong-Yil Chai, Yong Pil Chong
The Korean Journal of Parasitology.2017; 55(3): 313. CrossRef - Paragonimiasis in the Abdominal Cavity and Subcutaneous Tissue: Report of 3 Cases
Chang Ho Lee, Jong Hun Kim, Woo Sung Moon, Min Ro Lee
The Korean Journal of Parasitology.2012; 50(4): 345. CrossRef
- Two Cases of Primary Hyperparathyroidism Associated with Colon Cancer.
-
Sang Hoon Chun, Yun Kyung Kim, Jae Seung Yun, Eun Hee Jang, Shin Ae Park, Jae Hyung Cho, Seung Hyun Ko, Yu Bai Ahn, Young Jin Suh, Jun Gi Kim
-
J Korean Endocr Soc. 2008;23(3):204-209. Published online June 1, 2008
-
DOI: https://doi.org/10.3803/jkes.2008.23.3.204
-
-
Abstract
PDF
- Hypercalcemia is often observed in cancer patients secondary to parathyroid hormone (PTH) related peptide production. However, primary hyperparathyroidism and colon cancer rarely present simultaneously. Calcium is believed to have a chemopreventive effect against colorectal cancer because it reduces crypt cell hyperproliferation in both humans and in animals. There is evidence to suggest that the incidence of colorectal cancer in humans is reduced by high calcium intake. In patients with primary hyperparathyroidism, increased PTH activates 1,25(OH)2D and enhances calcium absorption in the gut. Consequently, the calcium level in the lumen is decreased, leading to an elevated risk of colorectal cancer. We report two patients with colon cancer and hypercalcemia secondary to primary hyperparathyroidism, along with a brief review of the literature.
|
KES
