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Paragonimiasis: a Japanese perspective.

Fukumi Nakamura-Uchiyama1, Hiroshi Mukae, Yukifumi Nawa

  • 1Department of Parasitology, Miyazaki Medical College, 5200 Kiyotake, Miyazaki 889-1692, Japan.

Clinics in Chest Medicine
|July 3, 2002
PubMed
Summary

Paragonimiasis, a foodborne zoonosis, is increasingly diagnosed globally due to travel and ethnic cuisine. Early diagnosis and effective treatments are crucial to avoid misdiagnosis and patient burden.

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Area of Science:

  • Medical Parasitology
  • Infectious Diseases
  • Global Health

Background:

  • Paragonimiasis is a foodborne zoonotic disease historically confined to specific regions.
  • Global travel and consumption of ethnic dishes have led to increased cases worldwide.
  • Misdiagnosis as tuberculosis or lung cancer results in significant patient suffering and healthcare costs.

Purpose of the Study:

  • To highlight the changing epidemiology of paragonimiasis.
  • To emphasize the importance of clinical awareness for prompt diagnosis.
  • To inform clinicians about available diagnostic and treatment options.

Main Methods:

  • Review of recent clinical observations and epidemiological trends.
  • Emphasis on characteristic clinical signs: pulmonary lesions with eosinophilia and elevated serum IgE.
  • Highlighting the availability of advanced immunodiagnostic methods.

Main Results:

  • Paragonimiasis is no longer geographically limited, presenting globally.
  • Key diagnostic indicators include pulmonary lesions, eosinophilia, and elevated IgE.
  • Effective diagnostic tools and treatments are readily accessible.

Conclusions:

  • Clinicians must consider paragonimiasis in patients with suggestive pulmonary symptoms.
  • Prompt diagnosis using available methods prevents misdiagnosis and improves patient outcomes.
  • Effective drug therapies ensure successful treatment of paragonimiasis.

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