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Chylothorax caused by Paragonimus westermani in a native Californian
Robert S Wright1, Marian Jean2, Karen Rochelle2
1David Geffen School of Medicine at UCLA, Los Angeles; Santa Barbara Pulmonary Consultants, Santa Barbara.
Abstract:
Paragonimiasis is a parasitic infection endemic in Asia but uncommon in the United States. It presents most frequently with cough and hemoptysis. Pleural effusions are common and can manifest occasionally as a pseudochylothorax, but a true chylothorax has, to our knowledge, never been reported. We report a case of a chylothorax from infection with Paragonimus westermani. The case is also unique because it occurred in a native Californian who had not traveled to Asia and was infected by eating raw crabs at a local sushi restaurant. The freshwater crabs had been imported from Asia.
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