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A case of paragonimiasis

A Demetriou, B M Phillips, R G Hendrickse

    Archives of Disease in Childhood
    |November 1, 1978
    PubMed
    Summary

    A young girl from Nigeria was diagnosed with paragonimiasis, a lung fluke infection, presenting with chest cavity and swelling. Treatment with Bitin-S successfully resolved symptoms and imaging findings.

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    Area of Science:

    • Tropical Medicine
    • Parasitology
    • Infectious Diseases

    Background:

    • Paragonimiasis is a parasitic lung infection caused by trematode worms of the Paragonimus genus.
    • It is endemic in many parts of Asia, Africa, and South America, often associated with the consumption of raw or undercooked freshwater crustaceans.
    • Clinical presentation can be variable, including pulmonary symptoms and extrapulmonary manifestations.

    Observation:

    • A 2 1/2-year-old female patient from eastern Nigeria presented with an infraclavicular soft tissue swelling.
    • Imaging revealed a left lung cavity with pleural effusion, accompanied by leukocytosis and marked eosinophilia.
    • Clinical and serological data strongly suggested paragonimiasis.

    Findings:

    • The patient was diagnosed with pulmonary paragonimiasis based on clinical, radiological, and laboratory findings.
    • Treatment with Bitin-S (praziquantel) was initiated.
    • Following treatment, chest X-ray normalized, soft tissue swelling resolved, and eosinophil count decreased significantly.

    Implications:

    • This case highlights the importance of considering paragonimiasis in the differential diagnosis of lung lesions and eosinophilia, especially in patients with a travel history to endemic areas.
    • Prompt diagnosis and treatment with praziquantel are crucial for favorable outcomes.
    • Effective management can lead to complete resolution of both pulmonary and extrapulmonary symptoms.

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