Pleuropulmonary and abdominal paragonimiasis: CT and ultrasound findings

Shim, Sung Shine; Kim, Y.; Lee, J. K.; Lee, J. H.; Song, Do-Kyeong

doi:10.1259/bjr/30366021

Cited by 18 publications

(7 citation statements)

References 17 publications

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“…In 2005, Kuroki and coinvestigators in Japan described highresolution CT scan findings for radiographic confirmation of P. westermani paragonimiasis that included worm-containing cysts, worm migration tracks, centrilobular nodules or "ring signs," and focal areas of bronchial wall thickening (33). In 2012, Shim and colleagues described low-attenuated serpentine lesions of the liver on abdominal ultrasound and CT scans, presumably worm migration tracks approaching the pleurae and lungs, as another common and relatively specific radiographic finding for P. westermani paragonimiasis (34).…”

Section: Radiological Manifestations Of Paragonimiasismentioning

confidence: 99%

Paragonimiasis Acquired in the United States: Native and Nonnative Species

Diaz

2013

Clin Microbiol Rev

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SUMMARY Paragonimiasis is a parasitic lung infection caused by lung flukes of the genus Paragonimus , with most cases reported from Asia and caused by P. westermani following consumption of raw or undercooked crustaceans. With the exception of imported P. westermani cases in immigrants, in travelers returning from areas of disease endemicity, and in clusters of acquired cases following consumption of imported Asian crabs, human paragonimiasis caused by native lung flukes is rarely described in the United States, which has only one indigenous species of lung fluke, Paragonimus kellicotti . Clinicians should inquire about the consumption of raw or undercooked freshwater crabs by immigrants, expatriates, and returning travelers, and the consumption of raw or undercooked crayfish in U.S. freshwater river systems where P. kellicotti is endemic when evaluating patients presenting with unexplained fever, cough, rales, hemoptysis, pleural effusions, and peripheral eosinophilia. Diagnostic evaluation by specific parasitological, radiological, serological, and molecular methods will be required in order to differentiate paragonimiasis from tuberculosis, which is not uncommon in recent Asian immigrants. All cases of imported and locally acquired paragonimiasis will require treatment with oral praziquantel to avoid any potential pulmonary and cerebral complications of paragonimiasis, some of which may require surgical interventions.

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Section: Radiological Manifestations Of Paragonimiasismentioning

confidence: 99%

Paragonimiasis Acquired in the United States: Native and Nonnative Species

Diaz

2013

Clin Microbiol Rev

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“…Therefore, it is more prevalent in areas where eating raw crabs or crayfish exists as culture or folk medicine, such as China, Korea, Japan, and the Philippines [1-6]. However, paragonimiasis is currently very rare in Taiwan [7].…”

Section: Discussionmentioning

confidence: 99%

“…The infection is also known as the lung fluke disease or pulmonary distomiasis because this trematode normally infects the lungs of mammals [5]. Regardless of the species responsible for the infection, praziquantel is the drug of choice, and it has a high cure rate [6]. …”

Section: Introductionmentioning

confidence: 99%

Intestinal Paragonimiasis with Colonic Ulcer and Hematochezia in An Elderly Taiwanese Woman

Liu¹,

Chen²,

Chen³

et al. 2012

Korean J Parasitol

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A 94-year-old female with end-stage renal disease presents with fever, fatigue, and hematochezia. She had previously resided in Hunan Province, China, and Myanmar, and she immigrated to Taiwan 30 years ago. Colonoscopy revealed a colonic ulcer. Biopsy of the colonic ulcer showed ulceration of the colonic mucosa, and many Paragonimus westermani-like eggs were noted. Serum IgG antibody levels showed strong reactivity with P. westermani excretory-secretory antigens by ELISA. Intestinal paragonimiasis was thus diagnosed according to the morphology of the eggs and serologic finding. After treatment with praziquantel, hematochezia resolved. The present case illustrates the extreme manifestations encountered in severe intestinal paragonimiasis.

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“…Diagnostic usefulness of US in infections caused by flukes other than Schistosoma spp. has been reported for fascioliasis-related hepatic and biliary disease, 52,94,95 pulmonary and abdominal paragonimiasis, 96 and clonorchiasis. 97 Other helminthic infections for which US has been used include onchocerciasis, [98][99][100] abdominal and ocular toxocariasis, 101,102 and ascariasis and its complications such as bile duct invasion.…”

Section: Miscellaneous Infectious Diseasesmentioning

confidence: 99%

Point-of-Care Ultrasound Assessment of Tropical Infectious Diseases—A Review of Applications and Perspectives

Bélard¹,

Tamarozzi²,

Bustinduy³

et al. 2016

The American Society of Tropical Medicine and Hygiene

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Abstract. The development of good quality and affordable ultrasound machines has led to the establishment and implementation of numerous point-of-care ultrasound (POCUS) protocols in various medical disciplines. POCUS for major infectious diseases endemic in tropical regions has received less attention, despite its likely even more pronounced benefit for populations with limited access to imaging infrastructure. Focused assessment with sonography for HIV-associated TB (FASH) and echinococcosis (FASE) are the only two POCUS protocols for tropical infectious diseases, which have been formally investigated and which have been implemented in routine patient care today. This review collates the available evidence for FASH and FASE, and discusses sonographic experiences reported for urinary and intestinal schistosomiasis, lymphatic filariasis, viral hemorrhagic fevers, amebic liver abscess, and visceral leishmaniasis. Potential POCUS protocols are suggested and technical as well as training aspects in the context of resourcelimited settings are reviewed. Using the focused approach for tropical infectious diseases will make ultrasound diagnosis available to patients who would otherwise have very limited or no access to medical imaging.

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Pleuropulmonary and abdominal paragonimiasis: CT and ultrasound findings

Abstract: Radiologists should consider the possibility of PW when these abdominal CT findings are noted, especially with pleural effusion or subpleural nodules in patients with initial abdominal symptoms.

Cited by 18 publications

References 17 publications

Paragonimiasis Acquired in the United States: Native and Nonnative Species

Paragonimiasis Acquired in the United States: Native and Nonnative Species

Intestinal Paragonimiasis with Colonic Ulcer and Hematochezia in An Elderly Taiwanese Woman

Point-of-Care Ultrasound Assessment of Tropical Infectious Diseases—A Review of Applications and Perspectives

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