Paragonimiasis Westermani with Multifocal Lesions in Lungs and Skin.

Ashitani, Jun‐ichi; Kumamoto, Kenshi; Matsukura, Shigeru

doi:10.2169/internalmedicine.39.433

Cited by 37 publications

(31 citation statements)

References 6 publications

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“…In contrast Singh and coworkers reported a higher prevalence among male patients in Manipur, India [15]. However, paragonimiasis is found in children, adults, and all categories of people [14]. On the whole, crab eating is common in Eastern Nigeria.…”

Section: Discussionmentioning

confidence: 93%

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Paragonimiasis and Renewed Crab-Eating Behavior in Six Communities from Two Ethnocultural Clusters in Southeastern Nigeria

Uttah

2013

ISRN Infectious Diseases

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is work was aimed at assessing the prevalence of paragonimiasis and crab-eating behavior in Southeastern Nigeria. Sputum examinations and questionnaire administration were carried out. Prevalence was 13.2% and was signi�cantly higher among females (14.6%) than males (11.2%) ( ). Overall, 77.2% of respondents across the communities eat crabs, and this was comparable between males (76.4%) and females (77.6%) ( ). e prevalence was comparable between the two ethnocultural groups and between communities within each ethnocultural group ( for both tests). e mean age of crab eaters was 43 years, while that of noncrab eaters was 26 years. Many (46.3%) infected individuals presented low intensity infections (1-50 eggs/ova per 5 mL −1 sputum), while 28.8% and 23.8% presented moderate (51-100 eggs/ova per 5 mL −1 sputum) and high (above 100 eggs/ova per 5 mL −1 sputum) intensity infections, respectively. Infection risk among weekly eaters of crabs was 3 times higher than that of monthly eaters (OR 3.68), 19 times higher than that of quarterly eaters (OR 19.0), and 9 times higher than that of irregular eaters (OR 9.38). Concerted awareness campaign is needed to curb the renewed increase of the scourge in endemic Southeastern Nigeria.

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Section: Discussionmentioning

confidence: 93%

“…However, prevalence was comparable between both sexes in neighboring southwest area of Cameroon [9]. Many other researchers have reported no sex-related difference in prevalence [13,14]. In contrast Singh and coworkers reported a higher prevalence among male patients in Manipur, India [15].…”

Section: Discussionmentioning

confidence: 99%

Paragonimiasis and Renewed Crab-Eating Behavior in Six Communities from Two Ethnocultural Clusters in Southeastern Nigeria

Uttah

2013

ISRN Infectious Diseases

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“…Uchiyama et al reviewed 104 patients with paragonimiasis from 1986 to 1998 and demonstrated that children as well as adults were infected and that there was no substantial difference in the male-to-female ratio (182). Ashitani et al also reported paragonimiasis in children as well as adults and failed to demonstrate any obvious distributional differences with respect to sex (9). Some have suggested that children in some areas may be infected at a higher rate than adults.…”

Section: Epidemiology Of Human Diseasementioning

confidence: 98%

“…It has been suggested that aberrant migration is more likely to occur in heavy infections (9,126). The migrating immature parasites may come to rest in a variety of organs.…”

Section: Ectopic Paragonimiasismentioning

confidence: 99%

North American Paragonimiasis (Caused by Paragonimus kellicotti ) in the Context of Global Paragonimiasis

2009

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SUMMARY Paragonimus species are highly evolved parasites with a complex life cycle that involves at least three different hosts, i.e., snails, crustaceans, and mammals. The adult forms of Paragonimus species reside and mate in the lungs of a variety of permissive mammalian hosts, including humans. Although human paragonimiasis is uncommonly encountered in North America, both autochthonous and imported disease may be encountered. Paragonimus kellicotti, the species endemic to North America, is a well-known pathogen in wild and domestic animals. Five patients with North American paragonimiasis have been reported in the recent medical literature. The biologic, clinical, radiologic, and laboratory features of paragonimiasis are reviewed, with emphasis on North American paragonimiasis whenever possible.

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“…This too agrees with the reports made by (Singh et al, 1986;Udonsi 1987;Uttah et al, 2013) but disagrees with the results of (Ibenga et al, 1997;Asor et al, 2003;Uttah, 2013) who reported that more females were infected than males. Many other researchers have reported no sex-related difference in prevalence (Uchiyama et al, 1999;Ashitani et al, 2000). It is pertinent to note that, although both sexes can acquire the infection through food or by wrong sense of remedy to certain ailments, the males encounter crabs more than females.…”

Section: Resultsmentioning

confidence: 89%

PREVALENCE OF <i>PARAGONIMUS</i> INFECTION

Okoro¹

2013

American Journal of Infectious Diseases

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Paragonimiasis (human infections with the lung fluke Paragonimus westermani) is an important public health problem in parts of Africa. This study was aimed at assessing the prevalence of Paragonimus infection in Ebonyi State. Deep sputum samples from 3600 individuals and stool samples from 900 individuals in nine Local Government Areas in Ebonyi State, Nigeria were examined for Paragonimus ova using concentration technique. The overall prevalence of pulmonary Paragonimus infection in the area was 16.30%. Six foci of the infection were identified in Ebonyi North and Ebonyi Central but none in Ebonyi South. The intensity of the infection was generally moderate. Of the 720 individuals examined, 16 (12.12%) had less than 40 ova of Paragonimus in 5 mL sputum and 114 (86.36%) had between 40 and 79 ova of Paragonimus in 5 mL sputum. While 2 individuals (1.52%) had over 79 ova of Paragonimus in 5 mL Sputum. Furthermore, there was higher prevalence of paragonimiasis in rainy season than in dry season. The results of this study indicated the growing public health threat posed by paragonimiasis in Ebonyi North and Ebonyi Central. A combination of chemotherapy, to bring relief to persons already infected by the disease and public health education related to paragonimiasis transmission to increase awareness of the infection in the areas is recommended.

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Paragonimiasis Westermani with Multifocal Lesions in Lungs and Skin.

Cited by 37 publications

References 6 publications

Paragonimiasis and Renewed Crab-Eating Behavior in Six Communities from Two Ethnocultural Clusters in Southeastern Nigeria

Paragonimiasis and Renewed Crab-Eating Behavior in Six Communities from Two Ethnocultural Clusters in Southeastern Nigeria

North American Paragonimiasis (Caused by Paragonimus kellicotti ) in the Context of Global Paragonimiasis

PREVALENCE OF <i>PARAGONIMUS</i> INFECTION

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