[A Case Strongly Suspected of Being XXXX Showing Multiple Pulmonary Nodules with a Disappearing and Reappearing Halo Sign].

@entity1 @entity1712 @entity3753 @entity5603 @entity409 @entity1573 @entity166 @entity358 @entity13871 @entity9416 @entity10130
We report herein on a case strongly suspected of being @entity358 . A 22-year-old Indonesian @entity1 referred to our hospital presented with abnormal chest shadows upon medical examination. He had no symptoms. He did not have any pets nor did he eat raw beef or @entity1573 . Hematological examination revealed @entity1712 and elevation of @entity9416 . Chest computed tomography revealed 3 pulmonary nodules with the halo sign. We suspected a parasite infection and performed antiparasite antibody testing. @entity10130 was slightly positive on the screening test. As specific antibody against the larval excretory-secretory products of @entity5603 , measured at the National Institute of @entity166 , was positive (level 3 up to 8). Subsequently, the abnormal chest shadows disappeared. However, two months later, 2 pulmonary nodules with the halo sign reappeared in other places. Diagnostic therapy with @entity3753 was performed for 8 weeks. Mild @entity409 emerged during therapy, but it was within the allowed range. Thereafter, the results improved for the imaging findings, @entity1712 , serum @entity9416 level, and specific antibody. The antibody level became negative two months after the treatment had ended. We should consider @entity13871 in the differential diagnosis of migratory nodular shadows with the halo sign on chest computed tomography, and immunoserological testing is useful for the diagnosis.
