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BMC Infectious Diseases Jun 2024In this study, we examined the value of chest CT signs combined with peripheral blood eosinophil percentage in differentiating between pulmonary paragonimiasis and...
OBJECTIVE
In this study, we examined the value of chest CT signs combined with peripheral blood eosinophil percentage in differentiating between pulmonary paragonimiasis and tuberculous pleurisy in children.
METHODS
Patients with pulmonary paragonimiasis and tuberculous pleurisy were retrospectively enrolled from January 2019 to April 2023 at the Kunming Third People's Hospital and Lincang People's Hospital. There were 69 patients with pulmonary paragonimiasis (paragonimiasis group) and 89 patients with tuberculous pleurisy (tuberculosis group). Clinical symptoms, chest CT imaging findings, and laboratory test results were analyzed. Using binary logistic regression, an imaging model of CT signs and a combined model of CT signs and eosinophils were developed to calculate and compare the differential diagnostic performance of the two models.
RESULTS
CT signs were used to establish the imaging model, and the receiver operating characteristic (ROC) curve was plotted. The area under the curve (AUC) was 0.856 (95% CI: 0.799-0.913), the sensitivity was 66.7%, and the specificity was 88.9%. The combined model was established using the CT signs and eosinophil percentage, and the ROC was plotted. The AUC curve was 0.950 (95% CI: 0.919-0.980), the sensitivity was 89.9%, and the specificity was 90.1%. The differential diagnostic efficiency of the combined model was higher than that of the imaging model, and the difference in AUC was statistically significant.
CONCLUSION
The combined model has a higher differential diagnosis efficiency than the imaging model in the differentiation of pulmonary paragonimiasis and tuberculous pleurisy in children. The presence of a tunnel sign on chest CT, the absence of pulmonary nodules, and an elevated percentage of peripheral blood eosinophils are indicative of pulmonary paragonimiasis in children.
Topics: Humans; Eosinophils; Paragonimiasis; Male; Female; Child; Retrospective Studies; Diagnosis, Differential; Tuberculosis, Pleural; Tomography, X-Ray Computed; Child, Preschool; Adolescent; ROC Curve; Sensitivity and Specificity
PubMed: 38851671
DOI: 10.1186/s12879-024-09461-3 -
Journal of Infection in Developing... Mar 2024Paragonimiasis is a common zoonotic parasitic disease. The retinoic acid-inducible gene I (RIG-I) signaling is very important for the host to recognize invading...
Paragonimiasis is a common zoonotic parasitic disease. The retinoic acid-inducible gene I (RIG-I) signaling is very important for the host to recognize invading pathogens (especially viruses and bacteria). However, the role of RIG-I signaling in the early stages of P. proliferus infection remains unclear. Therefore, in this study, Sprague-Dawley (SD) rat models with lung damage caused by P. proliferus were established. Experimental methods including Enzyme-linked Immuno Sorbent Assay (ELISA), real-time fluorescent quantitative polymerase chain reaction (PCR), western blotting, and hematoxylin and eosin (HE) staining were used to explore the mechanisms of lung injury caused by P. proliferus. As a result, the expression of the mRNA and proteins of RIG-I signal-related key target molecules, including RIG-I, tumor necrosis factor (TNF) receptor associated factor 6 (TRAF6), interferon regulatory Factor 7 (IRF7), IPS-1, and downstream C-X-C chemokine ligand 10 (CXCL10), were significantly up-regulated immediately after infection, peaked at 3 or 7 days, and showed a downward trend on after 14 days. The levels of pro-inflammatory cytokines interleukin-1 (IL-1), interferon (IFN)-α, -β, and -γ, which represent type 1 immune response, gradually increased and reached a peak by 14 days, which was consistent with the changes in the degree of inflammatory damage observed under HE staining of lung tissues. In conclusion, RIG-I signaling is activated in the early stage (before 14 days) of P. proliferus infection, it is inferred that the lung injury of the host may be related to the activation of RIG-I like signaling to induce type I immune response.
Topics: Animals; Rats; DEAD Box Protein 58; Paragonimiasis; Lung Injury; Rats, Sprague-Dawley; Interferon-alpha; Immunity; Paragonimus; RNA Helicases
PubMed: 38635624
DOI: 10.3855/jidc.18863 -
Zhongguo Xue Xi Chong Bing Fang Zhi Za... Mar 2024To investigate the population distribution of intermediate host snails and crabs of along the Jiulongjiang River, Zhangjiang River, and Dongxi River basins in...
[Investigation of the population diversity of intermediate host snails and crabs of along Jiulong River, Zhangjiang River and Dongxi River basins in southern Fujian Province].
OBJECTIVE
To investigate the population distribution of intermediate host snails and crabs of along the Jiulongjiang River, Zhangjiang River, and Dongxi River basins in Bopingling Mountain, southern Fujian Province, so as to provide baseline data for researches on parasitic disease prevention and control and enlargement of samples in the parasitic resource bank.
METHODS
A total of 23 villages in 8 counties (districts) along the Jiulong River, Zhangjiang River, and Dongxi River basins in Zhangzhou City, Fujian Province were selected as survey sites during the period from November 2020 through March 2023, and snail and freshwater crabs were sampled from 1 to 3 streams and ditches neighboring residential areas in each village. Morphological identification of snails was performed according to the external morphological characteristics of collected snail shells, and the unidentified snail species sampled from the natural foci of paragonimiasis in Yunxiao County were subjected to se-quence analysis of the mitochondrial cytochrome oxidase 1 () gene. The crab species was identified by observing the morphological characteristics of the terminal segment of the first pleopod of male crabs, and cercariae and metacercariae were detected in collected snails.
RESULTS
The shells of the unidentified snails sampled from the natural foci of paragonimiasis in Yunxiao County were approximately 50 mm in height and 18 mm in width, thick and solid, long tower cone-shaped, and had 8 to 10 whorls. gene sequence analysis identified the snail species as . A total of 6 freshwater snail species belonging to 5 genera within 3 families, identified 23 survey sites, including , and that belonged to the Family Pleurceridae, and that belonged to the subfamily Triculinae, Family Pomatiopsidae, and (Family Thiaridae), and 11 species of freshwater crabs belonging to 5 genera within 2 families were identified, including genus of , , and , genus of and , genus of and , and genus of and that belonged to the Family Potamidae, and genus of and (Family Parathelphusidae). In addition, the prevalence of cercariae infections was 0.08% (2/2 317) in from Danyan Village in Changtai District and 0.09% (1/1 039) in from Jinkeng Village in Yunxiao County, and the prevalence of metacercariae infections was 25.81% (8/31) in from Danyan Village in Changtai District, and 26.31% (5/19) in from Jinkeng Village in Yunxiao County, respectively.
CONCLUSIONS
There is a population diversity in the intermediate host snails and crabs along the Jiulongjiang River, Zhangjiang River, and Dongxi River basins in Bopingling Mountain, southern Fujian Province, and and are, for the first time, confirmed as the first intermediate hosts of .
Topics: Humans; Animals; Male; Paragonimus; Brachyura; Paragonimiasis; Rivers; Fresh Water; Gastropoda
PubMed: 38604684
DOI: 10.16250/j.32.1374.2023144 -
Pediatrics International : Official... 2024
Topics: Humans; Animals; Paragonimiasis; B-Lymphocyte Subsets; Immunoglobulin G; Enzyme-Linked Immunosorbent Assay; Paragonimus
PubMed: 38409883
DOI: 10.1111/ped.15727 -
Pancreas Apr 2024A few pediatric cases of abdominal paragonimiasis have been described. Here we describe a case of pulmonary and abdominal paragonimiasis with involvement of the pancreas...
A few pediatric cases of abdominal paragonimiasis have been described. Here we describe a case of pulmonary and abdominal paragonimiasis with involvement of the pancreas in a 9-year-old boy. The aim of this study was to analyze the clinical and radiological features of pancreatic paragonimiasis in children and raise the awareness of this disease.
Topics: Male; Humans; Child; Paragonimiasis; Lung; Radiography; Pancreas
PubMed: 38345919
DOI: 10.1097/MPA.0000000000002307 -
Internal Medicine (Tokyo, Japan) Feb 2024
PubMed: 38311422
DOI: 10.2169/internalmedicine.3179-23 -
Tropical Medicine and Infectious Disease Dec 2023Human pulmonary paragonimiasis, an emerging concern in North East India, frequently masquerades as pulmonary tuberculosis due to clinical and radiological similarities,...
Human pulmonary paragonimiasis, an emerging concern in North East India, frequently masquerades as pulmonary tuberculosis due to clinical and radiological similarities, leading to diagnostic challenges. This research aimed to harness the immunoblotting technique to discern immunodiagnostic protein antigens from both adult worm and excretory-secretory (ES) extracts of the prevalent type 1 in Arunachal Pradesh, North East India. We studied the time kinetics of immunoreactive patterns in relation to the duration of infection in rodent models. Immunoblot analyses were also conducted using sera from ELISA-positive patients confirmed with paragonimiasis, facilitating the selection of antigenic extracts with diagnostic potential. Further, ES protein antigens were subjected to 2D immunoblot analysis and immunoreactive protein spots identified using MALDI-TOF MS. The immunoreactivity patterns of ES antigens with sera of paragonimiasis-positive patients were detailed, and specific immunoreactive protein antigens were pinpointed using peptide mass fingerprinting (MALDI-TOF). This work underscores the enhanced diagnostic accuracy when combining ELISA with immunoblotting for pulmonary paragonimiasis in regions like North East India, marked by co-existing helminth infections.
PubMed: 38251203
DOI: 10.3390/tropicalmed9010006 -
Journal of Infection and Chemotherapy :... Jul 2024Paragonimiasis is a parasitic disease primarily contracted through consumption of undercooked freshwater crustaceans or wild boar meat. Large-scale nationwide...
BACKGROUND
Paragonimiasis is a parasitic disease primarily contracted through consumption of undercooked freshwater crustaceans or wild boar meat. Large-scale nationwide epidemiological data on paragonimiasis are lacking. In this study, we aimed to investigate the nationwide epidemiology of hospitalized patients with paragonimiasis in Japan using a comprehensive nationwide Japanese administrative database.
METHODS
We evaluated the Japanese Diagnosis Procedure Combination (DPC) data of patients diagnosed with pulmonary paragonimiasis between April 1, 2012 and March 30, 2020. The patients' address and information, including age, sex, treatment (medication: praziquantel; surgery: open thoracotomy or intracranial mass extirpation), Japan coma scale, comorbidities, and length of hospital stay, were extracted.
RESULTS
Of the 49.6 million hospitalized patients, data were extracted on 73 patients with paragonimiasis, of whom 36 were male and 37 were female. The mean age was 49.7 years and the mean length of stay was 12.5 days. The most frequent comorbidity was pleural effusion (31.5 %), followed by pneumothorax (13.7 %). The sites of ectopic paragonimiasis in organs other than the lung included the liver (5.5 %), skin (4.1 %), and brain (2.7 %). Geographically, most patients were from the Kyushu region (54.8 %), followed by the Kanto region (22.0 %). Fukuoka Prefecture had the highest number of patients (22.0 %) by prefecture. During the study period, an average of 9.1 patients/year were hospitalized with lung paragonimiasis in Japan.
CONCLUSION
Paragonimiasis has not completely disappeared in Japan; thus, physicians should be aware of paragonimiasis in the Kyushu region, especially in the Fukuoka Prefecture.
Topics: Humans; Paragonimiasis; Japan; Male; Female; Middle Aged; Adult; Databases, Factual; Aged; Length of Stay; Lung Diseases, Parasitic; Young Adult; Hospitalization; Praziquantel; Adolescent; Animals; Comorbidity; East Asian People
PubMed: 38219980
DOI: 10.1016/j.jiac.2024.01.005 -
Zhongguo Xue Xi Chong Bing Fang Zhi Za... Dec 2023To investigate the sequences of internal transcribed spacer 2 () and cyclooxygenase 1 () genes of in freshwater crabs in Henan Province, identify the species of and...
OBJECTIVE
To investigate the sequences of internal transcribed spacer 2 () and cyclooxygenase 1 () genes of in freshwater crabs in Henan Province, identify the species of and evaluate its genetic relationships with isolates from other provinces in China.
METHODS
Freshwater crabs were collected from 8 survey sites in Zhengzhou, Luoyang, Pingdingshan, Nanyang and Jiyuan cities of Henan Province from 2016 to 2021, and metacercariae were detected in freshwater crabs. Genomic DNA was extracted from metacercariae, and the and genes were amplified using PCR assay, followed by sequencing of PCR amplification products. The gene sequences were spliced and aligned using the software DNASTAR, and aligned with the sequences of genes in the GenBank. Phylogenetic trees were created using the MEGA6 software with the Neighbor-Joining method based on and gene sequences, with as the outgroup.
RESULTS
The detection rates of were 6.83% (11/161), 50.82% (31/61), 18.52% (5/26), 8.76% (12/137), 14.29% (9/63), 17.76% (19/105), 18.50% (32/173) and 42.71% (41/96) in freshwater crabs from 8 survey sites in Zhengzhou, Luoyang, Pingdingshan, Nanyang and Jiyuan cities of Henan Province, with a mean detection rate of 19.46% (160/822), and a mean infection intensity of 0.57 metacercariae/g. The amplified and gene fragments of were approximately 500 bp and 450 bp in lengths, respectively. The gene sequences of metacercariae from 8 survey sites of Henan Province showed the highest homology (99.8% to 100.0%) with the gene sequence of (GenBank accession number: MW960209.1), and phylogenetic analysis showed that the in this study was clustered into the same clade with from Sichuan Province (GenBank accession number: AY618747.1), Guangxi Zhuang Autonomous Region (GenBank accession number: AY618729.1) and Hubei Province (GenBank accession number: AY618751.1), and from Fujian Province (GenBank accession number: AY618741.1) and Japan (GenBank accession number: AB713405.1). The gene sequences of metacercariae from 8 survey sites of Henan Province showed the highest homology (90.0% to 100.0%) with the gene sequence of (GenBank accession number: AY618798.1), and phylogenetic analysis showed that the in this study was clustered into the same clade with all and clustered into the same sub-clade with from Hubei Province (GenBank accession numbers: AY618782.1 and AY618764.1).
CONCLUSIONS
species from freshwater crabs in Henan Province were all characterized as , and the and gene sequences had the highest homology to those of from Hubei Province. The results provide insights into study of in Henan Province and China.
Topics: Animals; Paragonimus; Brachyura; Cyclooxygenase 1; Phylogeny; China; Sequence Analysis, DNA; Paragonimiasis
PubMed: 38148540
DOI: 10.16250/j.32.1374.2023096 -
PLoS Neglected Tropical Diseases Dec 2023Pulmonary paragonimiasis, a food-borne zoonotic helminthiasis, is a parasitic disease of the lung caused by infection with trematodes species of the genus Paragonimus....
BACKGROUND
Pulmonary paragonimiasis, a food-borne zoonotic helminthiasis, is a parasitic disease of the lung caused by infection with trematodes species of the genus Paragonimus. Although pneumothorax has been reported as occuring with paragonimiasis, to date no study has been performed concerning the clinical features and predictive risk factors for this condition.
METHODS
This retrospective study, which aims to fill this gap, was conducted at Jeonbuk National University Hospital. All patients (aged ≥19 years) were diagnosed with paragonimiasis between May 2011 and December 2021. Medical records were reviewed and information concerning age, sex, vital signs, underlying diseases, clinical signs and symptoms, laboratory findings, radiologic findings, treatment, and clinical outcomes was collected. An odds ratio (OR) for the risk factors associated with pneumothorax was calculated using the binary logistic regression model.
RESULTS
Among 179 consecutive patients diagnosed with pulmonary paragonimiasis, the postive rate of pneumothorax was 10.6% (19/179). Pneumothorax occurred mostly in the right lung (78.9%, 15/19), and intrapulmonary parenchymal lesions showed an ipsilateral relationship with pneumothorax (94.7%, 18/19). Fifteen patients (78.9%, 15/19) of pneumothorax associated with pulmonary paragonimiasis are accompanied by pleural effusion. Most of patients with pneumothorax (89.5%, 17/19) underwent chest tube insertion as a first treatment. Three patients (15.8%) showed relapses but in no case was a death recorded. Asthma (odds ratio [OR] 8.10, 95% confidence interval [CI] 1.43-45.91), chest pain (OR 8.15, 95% CI 2.70-24.58), and intrapulmonary lesions (OR 8.94, 95% CI 1.12-71.36) were independent risk factors for pulmonary paragonimiasis-associated pneumothorax.
CONCLUSIONS
Our findings suggest that clinicians should keep in mind the possibility of pneumothorax when approached by patients with pulmonary paragonimiasis complaining of chest pain, accompanied by intrapulmonary lesions or with asthma as an underlying disease.
Topics: Animals; Humans; Paragonimiasis; Pneumothorax; Retrospective Studies; Paragonimus; Risk Factors; Asthma; Chest Pain
PubMed: 38100524
DOI: 10.1371/journal.pntd.0011828