Paragonimiasis. Atypical appearances in two adolescent Asian refugees

Paragonimiasis is a parasitic disease endemic to Asia, Africa, and South America. With the increasing number of Southeast Asian immigrants arriving in the United States, physicians should be aware of the various manifestations of this disease. We describe two adolescent Asian refugees who had atypical cases of paragonimiasis. One experienced acute abdominal pain mimicking appendicitis, and the other had asymptomatic left upper-lobe cavitation.