Abstract: Objective To explore the clinical symptoms and the treatment of paragonimiasis complicated with pulmonary tuberculosis and to enhance the understanding of the disease. Methods The clinical documents of 52 cases of paragonimiasis complicated with pulmonary tuberculosis treated during 1995-2002 were reviewed.Results The patients were all adults,with 67.3% of male(35 out of 52).76.9% patients (40 out of 52).were peasants from the epidemic-stricken area and 21.2% cases were misdiagnosed(11 out of 52) because of the complicacy and variety of the clinical symptoms.All patients ever ate half-raw Charybdis(Charybdis) natator or drank water from rivulets in the epidemic-stricken area.4 cases were contacts of pulmonay tuberculosis.The latency was not easily determined but in most cases it ranged from 30 days to one year. Conclusion Since there are many similarities in signs and symptoms for both paragonimiasis and pulmonay tuberculosis,when the two disease are complicated,it is difficult to differentiate them through radiographic technology and disease history and aetiological examination must be applied to confirm the diagnosis.

Key words: Paragonimiasis, Pulmonay tuberculosis