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Tuberculosis, or TB, is a bacterial infectious disease caused by Mycobacterium tuberculosis. While its primary impact is on the lungs, leading to pulmonary tuberculosis, it can also affect various other organs, a condition referred to as extrapulmonary tuberculosis.
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Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
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Area of Science:

  • Parasitology
  • Infectious Diseases
  • Zoonotic Diseases

Background:

  • Paragonimiasis is a significant foodborne zoonosis globally.
  • Human infection occurs via consumption of raw or undercooked crustaceans harboring Paragonimus metacercariae.
  • Symptoms often mimic tuberculosis, leading to diagnostic delays.

Purpose of the Study:

  • To report two cases of human paragonimiasis.
  • To highlight diagnostic challenges and key clinical features.
  • To emphasize the importance of considering paragonimiasis in differential diagnoses.

Main Methods:

  • Case report of two patients with paragonimiasis.
  • Clinical presentation included productive cough, chest pain, eosinophilia, and pleural effusion.
  • Diagnosis confirmed by microscopic identification of Paragonimus ova in sputum.

Main Results:

  • Both patients had a history of consuming smoked crab from a local river.
  • Microscopic examination of sputum revealed Paragonimus ova.
  • Patients were successfully treated with praziquantel.

Conclusions:

  • Paragonimiasis diagnosis can be challenging due to nonspecific symptoms.
  • Eosinophilia and pleural effusion in patients with relevant exposure history should prompt consideration of paragonimiasis.
  • Prompt diagnosis and treatment with praziquantel lead to recovery.