Demographic characteristic and analysis of pulmonary paragonimiasis in patients attending RIMS, Manipur

Background: Human infection by the lung fluke Paragonimus westermani is widely distributed in Africa, Asia, and South America. Transmission of the parasite to humans primarily occurs through the consumption of raw or undercooked crabs. Clinical features of recently diagnosed pulmonary Paragonimiasis...

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Main Authors: Haorongbam Sunanda, Bhavya Shivalingaiah, Tamar Paley, Wangkheimayum Asoka
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-01-01
Series:Lung India
Subjects:
Online Access:http://www.lungindia.com/article.asp?issn=0970-2113;year=2016;volume=33;issue=2;spage=140;epage=143;aulast=Sunanda
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author Haorongbam Sunanda
Bhavya Shivalingaiah
Tamar Paley
Wangkheimayum Asoka
author_facet Haorongbam Sunanda
Bhavya Shivalingaiah
Tamar Paley
Wangkheimayum Asoka
author_sort Haorongbam Sunanda
collection DOAJ
description Background: Human infection by the lung fluke Paragonimus westermani is widely distributed in Africa, Asia, and South America. Transmission of the parasite to humans primarily occurs through the consumption of raw or undercooked crabs. Clinical features of recently diagnosed pulmonary Paragonimiasis show that patients present with a variety of clinical and radiological findings, frequently mimics tuberculosis and lung cancer. Methods: Here in this study, we report a cross-sectional study of pulmonary paragonimiasis in our institute over a period of two year. Results: it was observed that out of eleven cases, prevalence of paragonimiasis was almost equal among both the genders, with a mean age of 38.1 ± 16.96, affecting people from hills. Three patients were erroneously treated with antitubercular drugs without any relief. The association with eosinophilia in the peripheral blood and tissue[16] was seen in all the study subjects and majority patients had pleural fluid eosinophilia. Patients were diagnosed by serological test, Paragonimus ova in Sputum smear and Pleural fluid. All study subjects had excellent clinical responses to praziquantel given at dose of 25 mg/kg given orally 3 times daily for 3 consecutive days. Conclusions: There is a need to generate awareness among the clinicians and public regarding Paragonimiasis and to consider it in differential diagnosis of TB and carcinoma lung. Physicians should consider the possibility of paragonimiasis among patients who present with chest complaints with eosinophilia from the endemic regions.
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spelling doaj.art-732e0370f4264767889738d1b5644d7d2022-12-21T18:23:41ZengWolters Kluwer Medknow PublicationsLung India0970-21130974-598X2016-01-0133214014310.4103/0970-2113.177436Demographic characteristic and analysis of pulmonary paragonimiasis in patients attending RIMS, ManipurHaorongbam SunandaBhavya ShivalingaiahTamar PaleyWangkheimayum AsokaBackground: Human infection by the lung fluke Paragonimus westermani is widely distributed in Africa, Asia, and South America. Transmission of the parasite to humans primarily occurs through the consumption of raw or undercooked crabs. Clinical features of recently diagnosed pulmonary Paragonimiasis show that patients present with a variety of clinical and radiological findings, frequently mimics tuberculosis and lung cancer. Methods: Here in this study, we report a cross-sectional study of pulmonary paragonimiasis in our institute over a period of two year. Results: it was observed that out of eleven cases, prevalence of paragonimiasis was almost equal among both the genders, with a mean age of 38.1 ± 16.96, affecting people from hills. Three patients were erroneously treated with antitubercular drugs without any relief. The association with eosinophilia in the peripheral blood and tissue[16] was seen in all the study subjects and majority patients had pleural fluid eosinophilia. Patients were diagnosed by serological test, Paragonimus ova in Sputum smear and Pleural fluid. All study subjects had excellent clinical responses to praziquantel given at dose of 25 mg/kg given orally 3 times daily for 3 consecutive days. Conclusions: There is a need to generate awareness among the clinicians and public regarding Paragonimiasis and to consider it in differential diagnosis of TB and carcinoma lung. Physicians should consider the possibility of paragonimiasis among patients who present with chest complaints with eosinophilia from the endemic regions.http://www.lungindia.com/article.asp?issn=0970-2113;year=2016;volume=33;issue=2;spage=140;epage=143;aulast=SunandaLung flukeparagonimiasisparasites
spellingShingle Haorongbam Sunanda
Bhavya Shivalingaiah
Tamar Paley
Wangkheimayum Asoka
Demographic characteristic and analysis of pulmonary paragonimiasis in patients attending RIMS, Manipur
Lung India
Lung fluke
paragonimiasis
parasites
title Demographic characteristic and analysis of pulmonary paragonimiasis in patients attending RIMS, Manipur
title_full Demographic characteristic and analysis of pulmonary paragonimiasis in patients attending RIMS, Manipur
title_fullStr Demographic characteristic and analysis of pulmonary paragonimiasis in patients attending RIMS, Manipur
title_full_unstemmed Demographic characteristic and analysis of pulmonary paragonimiasis in patients attending RIMS, Manipur
title_short Demographic characteristic and analysis of pulmonary paragonimiasis in patients attending RIMS, Manipur
title_sort demographic characteristic and analysis of pulmonary paragonimiasis in patients attending rims manipur
topic Lung fluke
paragonimiasis
parasites
url http://www.lungindia.com/article.asp?issn=0970-2113;year=2016;volume=33;issue=2;spage=140;epage=143;aulast=Sunanda
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AT bhavyashivalingaiah demographiccharacteristicandanalysisofpulmonaryparagonimiasisinpatientsattendingrimsmanipur
AT tamarpaley demographiccharacteristicandanalysisofpulmonaryparagonimiasisinpatientsattendingrimsmanipur
AT wangkheimayumasoka demographiccharacteristicandanalysisofpulmonaryparagonimiasisinpatientsattendingrimsmanipur