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The American Journal of Tropical... Sep 2020
Topics: Animals; Anthelmintics; Brachyura; Bronchoalveolar Lavage Fluid; Cambodia; Cough; Female; Humans; Japan; Lung Diseases, Parasitic; Middle Aged; Paragonimiasis; Paragonimus; Praziquantel; Travel
PubMed: 32896236
DOI: 10.4269/ajtmh.20-0395 -
Journal of the Neurological Sciences 1969
Topics: Adolescent; Adult; Anthelmintics; Brain Diseases; Catecholamines; Female; Humans; Korea; Male; Middle Aged; Paragonimiasis; Radiography; Sulfides
PubMed: 5790371
DOI: 10.1016/0022-510x(69)90039-2 -
Infectious Disease Clinics of North... Sep 1993The parasitic diseases of the liver and lung are caused by trematodes or flukes--Opisthorchis viverrini, O. felineus, Fasciola hepatica, and Paragonimus westermani.... (Review)
Review
The parasitic diseases of the liver and lung are caused by trematodes or flukes--Opisthorchis viverrini, O. felineus, Fasciola hepatica, and Paragonimus westermani. Humans get infected by eating the second intermediate host of the fluke, for example, fish, crab, or water plant. The disease runs a chronic course. The diagnosis is made by the recover of eggs in stools or sputum, or by serodiagnosis. Praziquantel is the drug of choice except in falcioliaisis.
Topics: Adult; Animals; Anthelmintics; Benzimidazoles; Clonorchiasis; Fascioliasis; Humans; Liver; Opisthorchiasis; Paragonimiasis; Praziquantel; Trematoda; Triclabendazole; Ultrasonography
PubMed: 8254167
DOI: No ID Found -
Internal Medicine (Tokyo, Japan) Aug 2020An asymptomatic 47-year-old woman was admitted with pleural effusion and pulmonary infiltrates 1 month after ingesting raw wild boar and deer meat. Both her blood and...
An asymptomatic 47-year-old woman was admitted with pleural effusion and pulmonary infiltrates 1 month after ingesting raw wild boar and deer meat. Both her blood and pleural fluid were eosinophilic. Thoracoscopy revealed multiple nodules of the pleura, and biopsy samples of the nodules showed necrosis with epithelioid cell granulomas. An enzyme-linked immunosorbent assay was positive for antibodies against Paragonimus westermani, and the patient was successfully treated with praziquantel. This is the first reported case of pulmonary or pleuropulmonary paragonimiasis where several pleural nodules were observed. The detection of pleural nodules on thoracoscopy can contribute to the prompt and accurate diagnosis of paragonimiasis.
Topics: Animals; Deer; Enzyme-Linked Immunosorbent Assay; Female; Humans; Meat; Middle Aged; Paragonimiasis; Paragonimus westermani; Pleura; Pleural Effusion; Praziquantel; Respiratory Tract Infections; Sus scrofa; Thoracoscopy
PubMed: 32350198
DOI: 10.2169/internalmedicine.4457-20 -
The Journal of Pediatrics Jul 1979
Topics: Bithionol; Child, Preschool; Feces; Female; Humans; Laos; Lung Diseases, Parasitic; New York City; Paragonimiasis; Paragonimus
PubMed: 480017
DOI: 10.1016/s0022-3476(79)80088-8 -
The Journal of the Association of... Aug 2015Paragonimiasis is a disease which is frequently misdiagnosed as pulmonary tuberculosis. In the areas where people eat crab/crayfish this disease should be considered in...
Paragonimiasis is a disease which is frequently misdiagnosed as pulmonary tuberculosis. In the areas where people eat crab/crayfish this disease should be considered in the differential diagnosis to avoid antituberculosis treatment for a non-tubercular condition. We are reporting a case of pulmonary paragonimiasis who had been treated for tuberculosis.
Topics: Adult; Animals; Anthelmintics; Antitubercular Agents; Diagnosis, Differential; Diagnostic Errors; Humans; Lung; Male; Paragonimiasis; Paragonimus; Praziquantel; Radiography, Thoracic; Sputum; Tomography, X-Ray Computed; Treatment Outcome; Tuberculosis, Pulmonary; Unnecessary Procedures
PubMed: 27604443
DOI: No ID Found -
The American Journal of Tropical... Jul 2019We report an unusual case of paragonimiasis in a Nepali patient presenting with massive pericardial effusion and pericardial tamponade. The patient reported neither the...
We report an unusual case of paragonimiasis in a Nepali patient presenting with massive pericardial effusion and pericardial tamponade. The patient reported neither the consumption of crabs or crayfish nor the consumption of wild animal meat, which are the usual sources of infection. It is suspected that the source of infection was instead the ingestion of raw live slugs as part of a traditional medicine treatment.
Topics: Animals; Anthelmintics; Cardiac Tamponade; Female; Gastropoda; Humans; Medicine, Traditional; Middle Aged; Paragonimiasis; Praziquantel
PubMed: 31094314
DOI: 10.4269/ajtmh.19-0018 -
The Journal of Small Animal Practice Feb 1980
Review
Topics: Animals; Cat Diseases; Cats; Dog Diseases; Dogs; Lung Diseases, Parasitic; Paragonimiasis; Paragonimus; Radiography
PubMed: 6988648
DOI: 10.1111/j.1748-5827.1980.tb01218.x -
Neuropathology : Official Journal of... Aug 2022Paragonimiasis is a parasitic disease caused by Paragonimus westermani infection, and migration to the brain results in cerebral paragonimiasis. Cerebral paragonimiasis...
Paragonimiasis is a parasitic disease caused by Paragonimus westermani infection, and migration to the brain results in cerebral paragonimiasis. Cerebral paragonimiasis is now extremely rare, but a few cases are still reported. A 48-year-old Japanese woman presented with right-hand convulsion, right-hand numbness, sputum, and fatigue. Chest computed tomography demonstrated multiple nodular lesions, and head computed tomography revealed a hemorrhagic lesion in the left motor cortex. Magnetic resonance imaging revealed multiple small ring-shaped lesions with surrounding edema. Laboratory evaluation demonstrated peripheral eosinophilia. We considered eosinophilic granulomatosis with polyangiitis and started steroid treatment as a diagnostic therapy since we wanted to avoid cerebral lesion biopsy if possible. However, the patient underwent craniotomy surgery after steroid treatment for four months because a new intracerebral mass lesion had appeared. Trematode eggs were detected in the sample, and the final diagnosis was cerebral paragonimiasis. The patient was successfully treated with praziquantel. Cerebral paragonimiasis is extremely rare but should be considered in the differential diagnosis if atypical intracranial hemorrhage and peripheral eosinophilia are observed.
Topics: Churg-Strauss Syndrome; Diagnostic Errors; Female; Granulomatosis with Polyangiitis; Humans; Middle Aged; Paragonimiasis; Steroids
PubMed: 35723635
DOI: 10.1111/neup.12841 -
Pediatric Neurology Aug 2020We investigated the proportion of pediatric patients with cerebral paragonimiasis and intracranial hemorrhage who have intracranial pseudoaneurysms.
BACKGROUND
We investigated the proportion of pediatric patients with cerebral paragonimiasis and intracranial hemorrhage who have intracranial pseudoaneurysms.
METHODS
Images of 17 pediatric patients with cerebral paragonimiasis that first manifested as secondary intracranial hemorrhage were evaluated. All patients underwent computed tomographic angiography before surgery. A diagnosis of cerebral paragonimiasis was confirmed based on a positive Paragonimus-specific antibody test in serum samples from all 17 patients. Cerebral paragonimiasis in five of the 17 patients was further confirmed by histopathological examination of surgical specimens.
RESULTS
Computed tomographic angiographic images for six of the 17 patients (35.3%) showed the presence of intracranial pseudoaneurysms. Follow-up computed tomographic angiographic scans two years later showed that two of the six patients had persistent pseudoaneurysms and underwent aneurysmectomy. The diagnosis of pseudoaneurysm was confirmed by histopathological examination postsurgery. In another two of the six patients, the pseudoaneurysm lesions were absorbed and could no longer be seen on three- to six-month follow-up scans. The final two patients with pseudoaneurysms are still under follow-up. Intracranial pseudoaneurysms with various degrees of surrounding hemorrhage were frequently observed at first manifestation.
CONCLUSIONS
The rupture of intracranial pseudoaneurysms is a common characteristic feature of secondary intracranial hemorrhage caused by cerebral paragonimiasis in pediatric patients.
Topics: Adolescent; Aneurysm, False; Central Nervous System Helminthiasis; Cerebral Angiography; Child; Child, Preschool; Computed Tomography Angiography; Female; Follow-Up Studies; Humans; Intracranial Hemorrhages; Male; Paragonimiasis
PubMed: 32386792
DOI: 10.1016/j.pediatrneurol.2020.03.018