Pulmonary Paragonomiasis. Controversial Case Report
Article Sidebar
Main Article Content
Abstract
Infestation by Paragonimus spp. classically occurs through the ingestion of freshwater crustaceans, raw, undercooked or in the form of “ceviches”. We present the case of an adult patient who consciously ingested raw crabs and developed pulmonary symptoms with cough and dyspnea, which leaded him to undergo bronchoscopic studies, whose cytological result of bronchial brushing was pulmonary adenocarcinoma. A lung biopsy was performed and the pathology was conclusive of the presence of eggs and larval forms of Paragonimus spp., which is a rare entity in Guatemala. Patient received treatment with praziquantel and showed a good clinical response.
Downloads
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
Nakamura-Uchiyama F, Onah DN, Nawa Y. Clinical features of paragonimiasis cases recently found in japan: parasite-specific immunoglobulin M and G antibody classes. Clin Infect Dis 2001;32(12):171–5. Doi: 10.1086/320750.
Blair D. Capítulo 5: Paragonimiasis. En: Toledo R, Fried B. Digenetic Trematodes. Advances in Experimental Medicine and Biology. 1era ed., Springer, Nueva York, 2014. pp. 115–52.
Kunitomo K, Yumoto S, Tsuji T. Images in Clinical Tropical Medicine A Case of Paragonimiasis in a Patient with Wet Cough. Am J Trop Med Hyg 2020;103(3):939–40. Doi: 10.4269/ajtmh.20-0395.
Strobel M, Veasna D, Saykham M et al. Pleuro-pulmonary paragonimiasis. Med Mal Infect 2005;35(10):476–81. Doi: 10.1016/j.medmal.2005.08.002.
Curtis KC, Fischer K, Choi YJ, Mitreva M, Weil GJ, Fischer PU. Characterization and localization of antigens for serodiagnosis of human paragonimiasis. Parasitol Res 2021;120(2):535–45. Doi: 10.1007/s00436-020-06990-z.
Kim KU, Lee K, Park HK, Jeong YJ, Yu HS, Lee MK. A Pulmonary Paragonimiasis Case Mimicking Metastatic Pulmonary Tumor. Korean J Parasitol 2011;49(1):69–72. Doi: 10.3347/kjp.2011.49.1.69.
Lane MA, Barsanti MC, Santos CA, Yeung M, Lubner SJ, Weil GJ. Human paragonimiasis in North America following ingestion of raw crayfish. Clin Infect Dis 2009;49(6):55–61. Doi: 10.1086/605534.
Ermilov VV, Smirnov AV, Snigur GL, Dudin RS, Popov SS. Pulmonary larval paragonimiasis mimicking lung cancer. Arkh Patol 2018;80(2):60–3. Doi: 10.17116/patol201880260-63.
Sripa B, Kaewkes S, Intapan PM, Maleewong W, Brindley PJ. Food-Borne Trematodiases in Southeast Asia. Epidemiology, Pathology, Clinical Manifestation and Control. Adv Parasitol 2010;72(C):305–50. Doi: 10.1016/S0065-308X(10)72011-X.
Maticorena-Agramonte V, Ormeño-Julca A, Coveñas-Coronado C, Polar-Córdova V, Belloso Rodríguez JA. Paragonimiasis pulmonar. Reporte de caso pediátrico. Arch Argent Pediatr 2019;117(6):659–63.
Rosa BA, Choi YJ, McNulty SN et al. Comparative genomics and transcriptomics of 4 Paragonimus species provide insights into lung fluke parasitism and pathogenesis. Gigascience 2020;9(7):1–16. Doi: 10.1093/gigascience/giaa073.
Yatera K, Hanaka M, Hanaka T et al. A rare case of paragonimiasis miyazakii with lung involvement diagnosed 7years after infection: A case report and literature review. Parasitol Int 2015;64(5):274–80. Doi: 10.1016/j.parint.2015.02.009.
Fischer PU, Weil GJ. North American paragonimiasis: Epidemiology and diagnostic strategies. Expert Rev Anti Infect Ther 2015;13(6):779–86. Doi: 10.1586/14787210.2015.1031745.