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Unresolving Pneumonia with Pleural effusion: Pulmonary Paragonimiasis
D Gaire1, S Sharma1, K Poudel1
1Department of Internal Medicine, Institute of Medicine, Kathmandu, Nepal.
JNMA; Journal of the Nepal Medical Association
|July 27, 2017
Summary
Paragonimiasis, a parasitic lung infection, can mimic pneumonia. Early diagnosis and treatment with Praziquantel are crucial for recovery from this zoonotic disease.
Area of Science:
- Parasitology
- Infectious Diseases
- Pulmonology
Background:
- Paragonimiasis is a zoonotic parasitic infection caused by Paragonimus species.
- Human infection occurs through consumption of raw or undercooked crustaceans like crabs and crayfish.
Observation:
- A 48-year-old female presented with prolonged fever, cough, shortness of breath, and urticaria.
- She had a history of consuming raw crab one month prior to symptom onset.
- Diagnostic findings included eosinophilia, bilateral lung infiltrates, and pleural effusion.
Findings:
- Diagnosis of pulmonary paragonimiasis was confirmed by microscopic sputum examination for Paragonimus eggs.
- The patient showed a positive response to Praziquantel treatment.
Implications:
- Pulmonary paragonimiasis should be considered in the differential diagnosis of persistent pneumonia and unexplained hypereosinophilia.
- Prompt diagnosis and antiparasitic treatment are essential for managing Paragonimiasis.
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