Pulmonary Paragonimiasis: A Case Series
Paragonimiasis contributes to significant foodborne zoonosis worldwide. The major mode of transmission in humans is by consumption of uncooked or undercooked crabs and crayfish harbouring Paragonimus metacercariae. It begins with symptoms like fever and lower respiratory involvement from a few mont...
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| Format: | Article |
| Language: | English |
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Nepal Medical Association
2023-02-01
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| Series: | Journal of Nepal Medical Association |
| Subjects: | |
| Online Access: | https://www.jnma.com.np/jnma/index.php/jnma/article/view/8080 |
| _version_ | 1827108048226746368 |
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| author | Pratima Shah Rinku Sah Saugat Pradhan Priyanka Bhandari Basundha Khanal Robin Maskey Narayan Raj Bhattarai Ratna Baral |
| author_facet | Pratima Shah Rinku Sah Saugat Pradhan Priyanka Bhandari Basundha Khanal Robin Maskey Narayan Raj Bhattarai Ratna Baral |
| author_sort | Pratima Shah |
| collection | DOAJ |
| description |
Paragonimiasis contributes to significant foodborne zoonosis worldwide. The major mode of transmission in humans is by consumption of uncooked or undercooked crabs and crayfish harbouring Paragonimus metacercariae. It begins with symptoms like fever and lower respiratory involvement from a few months to a year, mimicking those of tuberculosis and leading to diagnostic delay. Here, we report two cases of paragonimiasis during a period of nine months. Both cases presented with symptoms of productive cough with rusty sputum, chest pain, along with eosinophilia, and pleural effusion and had a history of consumption of smoked crab from the local river. The diagnosis was established by microscopic demonstration of Paragonimus ova in the sputum. They were treated with praziquantel and recovered. Indeed, it is challenging to diagnose paragonimiasis due to the lack of its specific symptoms but should be considered in the differential diagnosis of eosinophilia and pleural effusion in such lung diseases.
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| first_indexed | 2024-04-10T05:51:42Z |
| format | Article |
| id | doaj.art-45f00a225a734177a99f6bb1eb5a4534 |
| institution | Directory Open Access Journal |
| issn | 0028-2715 1815-672X |
| language | English |
| last_indexed | 2025-03-20T10:20:18Z |
| publishDate | 2023-02-01 |
| publisher | Nepal Medical Association |
| record_format | Article |
| series | Journal of Nepal Medical Association |
| spelling | doaj.art-45f00a225a734177a99f6bb1eb5a45342024-09-23T18:38:34ZengNepal Medical AssociationJournal of Nepal Medical Association0028-27151815-672X2023-02-016125910.31729/jnma.8080Pulmonary Paragonimiasis: A Case SeriesPratima Shah0Rinku Sah1Saugat Pradhan2Priyanka Bhandari3Basundha Khanal4Robin Maskey5Narayan Raj Bhattarai6Ratna Baral7Department of Microbiology, B.P. Koirala Institute of Health Sciences, Dharan, Sunsari, NepalDepartment of Microbiology, B.P. Koirala Institute of Health Sciences, Dharan, Sunsari, NepalDepartment of Microbiology, B.P. Koirala Institute of Health Sciences, Dharan, Sunsari, NepalDepartment of Microbiology, B.P. Koirala Institute of Health Sciences, Dharan, Sunsari, NepalDepartment of Microbiology, B.P. Koirala Institute of Health Sciences, Dharan, Sunsari, NepalDepartment of Internal Medicine, B.P. Koirala Institute of Health Sciences, Dharan, Sunsari, NepalDepartment of Microbiology, B.P. Koirala Institute of Health Sciences, Dharan, Sunsari, NepalDepartment of Microbiology, B.P. Koirala Institute of Health Sciences, Dharan, Sunsari, Nepal Paragonimiasis contributes to significant foodborne zoonosis worldwide. The major mode of transmission in humans is by consumption of uncooked or undercooked crabs and crayfish harbouring Paragonimus metacercariae. It begins with symptoms like fever and lower respiratory involvement from a few months to a year, mimicking those of tuberculosis and leading to diagnostic delay. Here, we report two cases of paragonimiasis during a period of nine months. Both cases presented with symptoms of productive cough with rusty sputum, chest pain, along with eosinophilia, and pleural effusion and had a history of consumption of smoked crab from the local river. The diagnosis was established by microscopic demonstration of Paragonimus ova in the sputum. They were treated with praziquantel and recovered. Indeed, it is challenging to diagnose paragonimiasis due to the lack of its specific symptoms but should be considered in the differential diagnosis of eosinophilia and pleural effusion in such lung diseases. https://www.jnma.com.np/jnma/index.php/jnma/article/view/8080case reports; eosinophilia; paragonimiasis; pleural effusion. |
| spellingShingle | Pratima Shah Rinku Sah Saugat Pradhan Priyanka Bhandari Basundha Khanal Robin Maskey Narayan Raj Bhattarai Ratna Baral Pulmonary Paragonimiasis: A Case Series Journal of Nepal Medical Association case reports; eosinophilia; paragonimiasis; pleural effusion. |
| title | Pulmonary Paragonimiasis: A Case Series |
| title_full | Pulmonary Paragonimiasis: A Case Series |
| title_fullStr | Pulmonary Paragonimiasis: A Case Series |
| title_full_unstemmed | Pulmonary Paragonimiasis: A Case Series |
| title_short | Pulmonary Paragonimiasis: A Case Series |
| title_sort | pulmonary paragonimiasis a case series |
| topic | case reports; eosinophilia; paragonimiasis; pleural effusion. |
| url | https://www.jnma.com.np/jnma/index.php/jnma/article/view/8080 |
| work_keys_str_mv | AT pratimashah pulmonaryparagonimiasisacaseseries AT rinkusah pulmonaryparagonimiasisacaseseries AT saugatpradhan pulmonaryparagonimiasisacaseseries AT priyankabhandari pulmonaryparagonimiasisacaseseries AT basundhakhanal pulmonaryparagonimiasisacaseseries AT robinmaskey pulmonaryparagonimiasisacaseseries AT narayanrajbhattarai pulmonaryparagonimiasisacaseseries AT ratnabaral pulmonaryparagonimiasisacaseseries |