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[Paragonimiasis and pulmonary tuberculosis].

G Añaños1, A Trilla, F Graus

  • 1Sección de Medicina Tropical, Hospital Clínic i Provincial, Barcelona.

Medicina Clinica
|February 22, 1992
PubMed
Summary
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Paragonimiasis, a rare imported disease in Spain, was diagnosed in a patient coinfected with tuberculosis. Treatment with praziquantel and antitubercular drugs effectively managed both parasitic and tuberculous infections.

Area of Science:

  • Infectious Diseases
  • Parasitology
  • Pulmonology

Background:

  • Paragonimiasis, caused by Paragonimus species, is an uncommon imported parasitic disease in Spain.
  • Coinfection with pulmonary tuberculosis can complicate diagnosis and management of paragonimiasis.

Observation:

  • A case study of a native from Equatorial Guinea presenting with pulmonary and likely extrapulmonary paragonimiasis alongside active pulmonary tuberculosis.
  • Diagnostic identification of Paragonimus species utilized pulmonary secretions analyzed with Kinyoun carbonfucsine, Giemsa, and argentic impregnation stains.
  • Potential for neurological involvement (medullary and cerebral) due to Paragonimus infection was considered.

Findings:

  • Microscopic examination of pulmonary secretions confirmed Paragonimus species infestation.

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  • The co-occurrence of paragonimiasis and tuberculosis presented diagnostic challenges.

    • Implications:

    • Early diagnosis and combined treatment are crucial for managing coinfections of paragonimiasis and tuberculosis.
    • This case highlights the importance of considering parasitic infections in imported diseases, even when rare.
    • Successful treatment involved antitubercular therapy and praziquantel, indicating effective management strategies.