Simultaneous <i>Paragonimus</i> infection involving the breast and lung: A case report

Oh, Moon Young; Chu, A Jung; Park, Jeong Hwan; Lee, Jong Yoon; Roh, Eun Youn; Chai, Young Jun; Hwang, Ki‐Tae

doi:10.12998/wjcc.v7.i24.4292

Cited by 5 publications

(3 citation statements)

References 17 publications

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“…Nowadays, human paragonimiasis has been appearing all over the world due to the increase of human migration, international travel, and worldwide food trading. It has been estimated that 22.8 million people worldwide are at risk of paragonimiasis [2].…”

Section: Introductionmentioning

confidence: 99%

One delayed diagnosis of paragonimiasis case and literature review

Kong

Hua

Liu

et al. 2021

Respirology Case Reports

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Human paragonimiasis has been appearing all over the world due to increased human migration, international travel, and worldwide food trading. However, delayed and missed diagnosis rates are also increasing due to atypical clinical manifestations and the lack of disease understanding by clinical workers. We describe the case of a 43-year-old man, who was hospitalized with cough and chest pain for two months. Chest computed tomography (CT) revealed bilateral emphysema, left pleural effusion, and bilateral atelectasis. The hypereosinophilia gave us a clue; ultimately, the diagnosis of paragonimiasis was made through a diet history and a positive result of serum Paragonimus sp. immunoglobulin (Ig) G antibody. Moreover, 27 misdiagnosed paragonimiasis cases in the past decade have been reported. We draw conclusions by summarizing their characteristics for suspicious eosinophilic paragonimiasis patients; we should inquire diet history carefully, test serum IgG antibodies, and try to detect eggs. Once diagnosed, praziquantel is preferred for treatment.

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Section: Introductionmentioning

confidence: 99%

One delayed diagnosis of paragonimiasis case and literature review

Kong

Hua

Liu

et al. 2021

Respirology Case Reports

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“…Humans are usually infected when they consume inadequately cooked crabs or crayfish, which contain the encysted metacercariae of Paragonimus species. The metacercariae can pass through the intestinal wall into the peritoneal cavity and through the diaphragm into the pleural cavity, eventually ending up in the lung parenchyma and finally growing into adult flukes [ 5 ]. Because of this migratory route from the intestine to the lungs, the worms may reach and develop in ectopic foci anywhere within the body, including the liver, gallbladder, spleen, intestines, subcutaneous tissues, or brain.…”

Section: Discussionmentioning

confidence: 99%

Incidental diagnosis of paragonimiasis after histopathological examination of cholecystectomy specimen in Nepal: A case report

Jha

Mainali

Khadka

et al. 2021

Annals of Medicine &Amp; Surgery

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Introduction Paragonimiasis or lung fluke disease is a typical food-borne parasitic zoonosis caused by infection with Paragonimus species . The Paragonimus is a trematode that mainly infects the lungs of humans after eating an infected raw or undercooked crab or crayfish. Case presentation Herein we report a case of peritoneal Paragonimiasis in the gallbladder of a 58-year-old female from Rukum district of Nepal. It was an incidental diagnosis following routine histopathological examination of the cholecystectomy specimen. She presented with the symptoms of abdominal pain, fever, cough, and had a history of consumption of partially cooked river crabs. She responded well to praziquantel and improved thereafter. Clinical discussion Ectopic paragonimiasis is a rare disease and it presents with few clinical symptoms so it is significantly difficult to make a diagnosis and treat the patients. Even if a sputum test and biopsy are performed, the ova or body of Paragonimus parasites may not be detectable due to insufficient amount of specimens. Therefore, thorough history taking should be given importance. The dietary history of partially cooked crab or crayfish should indicate towards a high suspicion of Paragonimiasis. Any such indication should be immediately confirmed, which in our case was done by routine histopathological examination of the cholecystectomy specimen. Conclusion We report the case of a patient with peritoneal paragonimiasis in the gallbladder. Ectopic paragonimiasis is hard to diagnose due to an ignorance of, misdiagnosis, and the rarity of this disease. Thus, thorough history-taking and clinical suspicion of parasitic infection is essential.

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“…When freshwater crabs or crayfish are consumed raw or improperly prepared, humans become infected. An alternate way to contract infection is through the consumption of raw flesh from a paratenic animal host, in which matured worms frequently live in groups in lung cysts and release their eggs through air passages 11 .Additionally, the parasite migrates from the gut to the lungs and finally to the brain, skin, and subcutaneous tissues 12 .…”

Section: Definitive Hostsmentioning

confidence: 99%

A Review on Paragonimiasis and its Differential Diagnosis Technique

Resuh,

Kotso,

Kera

et al. 2024

Biosci., Biotech. Res. Asia

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This review highlights the existence of Paragonimus (PRG) and how they are mistaken for Tuberculosis (TB) during diagnosis. PRG is a parasitic lung fluke (flatworm) that infect the lungs, human serves as the first hosts, crabs, crayfish, and snails as the second intermediate hosts. The north-eastern states of India are endemic to PRG and infection is acquired by consuming uncooked or partially cooked crustaceans. Due to their similar clinical presentation to TB, PRGs are usually misdiagnosed, leading to delayed treatment. Ziehl-Neelsen (ZN) stain, conventional wet film for staining the sputum, pleural fluid, and stool, and lung biopsy are different laboratory tests to determine PRG infection. In addition, efficient technique that can aid diagnosis are immunological assays, like Enzyme-linked immunosorbent assay (ELISA), dot-ELISA, complement fixation test (CFT), intradermal test (ID), Western blot, immunodiffusion and indirect haemagglutination test (IHA). In India, PRG infection is most likely to persist until medical professionals and governing bodies raise awareness to implement adequate management measures.

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Simultaneous Paragonimus infection involving the breast and lung: A case report

Cited by 5 publications

References 17 publications

One delayed diagnosis of paragonimiasis case and literature review

One delayed diagnosis of paragonimiasis case and literature review

Incidental diagnosis of paragonimiasis after histopathological examination of cholecystectomy specimen in Nepal: A case report

A Review on Paragonimiasis and its Differential Diagnosis Technique

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