Bacterial pneumonia is a common lung disorder, and the pathogenesis remain elusive. Parasitic infections of the lung are able to affect the respiratory system, and the clinical features could mimic tuberculosis and malignancy. Therefore, it is essential to identify parasitic pneumonia at early stage, and most cases are curable with medical intervention. In this study, one case of parasitic pneumonia was misdiagnosed as bacterial infection, revealing the importance of pathological biopsy and MDT, especially when clinical features are not typical and routine tests are not specific. Therefore, more paragonimiasis cases can be diagnosed more effectively by the clinicians and misdiagnose should be avoided in future clinical practice.