A Case of Paragonimiasis in a Patient with Wet Cough

Abstract

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Paragonimiasis diagnosed by CT-guided transthoracic lung biopsy: Literature review and case report

“…Paragonimiasis is caused by the flatworm genus Paragonimus , and the species most commonly associated with human diseases is Paragonimus westermani . Paragonimiasis is most commonly reported in Southeast Asia, particularly the Philippines, and is less common in South and Central America or Africa [9] . In North America, the disease is more common among immigrants, and the common causative organism in North America is Paragonimus kellicotti [1] .…”

“…The cysts are usually smaller than 1 cm in diameter but can be as large as 5 cm. On CT, thick-walled cysts may appear, representing parasite lesion foci [ 1 , 9 ]. Lung parenchymal lesions can become chronically calcified, often in combination with nodular lesions, pleural effusion, interstitial thickening, cavitation, and bronchiectasis-like ring-shaped cocoons.…”

“…Blood eosinophils were increased (5%). Subsequent sputum examination demonstrated a case of lung fluke [9] .…”