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Related Experiment Videos

North American paragonimiasis. A case report.

G W Procop1, A M Marty, D N Scheck

  • 1Cleveland Clinic Foundation, Ohio 44195, USA.

Acta Cytologica
|February 10, 2000
PubMed
Summary

Paragonimiasis, a parasitic lung infection, can cause hemoptysis. This case highlights the importance of considering Paragonimus kellicotti in patients with risk factors, even in North America.

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Area of Science:

  • Parasitology
  • Pulmonology
  • Medical Diagnostics

Background:

  • Paragonimiasis is a parasitic lung infection caused by Paragonimus species, with a global distribution.
  • The infection follows a snail-crustacean-mammalian life cycle, and human disease often results from consuming raw or undercooked crustaceans.
  • North American paragonimiasis, primarily caused by Paragonimus kellicotti, typically affects animals but can infect humans who ingest undercooked crayfish.

Observation:

  • A case of parasitic hemoptysis in a 21-year-old male is presented.
  • The patient contracted Paragonimus kellicotti infection by consuming local, undercooked crayfish.
  • Diagnosis was confirmed by identifying Paragonimus eggs in bronchoalveolar lavage fluid cytology.

Findings:

  • Paragonimiasis is a recognized cause of parasitic hemoptysis globally.
  • The condition is rarely considered in North American differential diagnoses for hemoptysis without known risk factors.
  • Cytopathologists may be the first to identify diagnostic Paragonimus eggs.

Implications:

  • Increased awareness of Paragonimus kellicotti is crucial for diagnosing parasitic hemoptysis in North America.
  • Identifying specific risk factors, such as raw crustacean consumption, aids in diagnosis.
  • Cytologic examination of respiratory samples is vital for detecting Paragonimus eggs and establishing a diagnosis.

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