Imaging findings of Paragonimus westermani

Sah, Shambhu Kumar; Du, Silin; Liu, Yi; Yin, Ping; Ganganah, Oormila; Chiniah, Manu; Yadav, Pranesh Kumar; Guo, You You; Li, Yongmei

doi:10.1016/j.jrid.2016.01.008

Cited by 3 publications

(4 citation statements)

References 31 publications

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“…Common features include Ground-glass opacity(GGO), migration track, worm cyst, nodule, pleural effusion, pleural thickening on chest CT scans, ring-enhancing lesions on brain MRI. In computerised tomography (CT) scans features like mixed density lesions or patchy low, serpentine lesions or conglomerated small cystic and migration worm cyst and migration track 21 .Pulmonary parenchymal abnormalities and bilateral effusion in chest radiography we also detected 22 .In the cerebral cortex, clusters of numerous ring-structure shadows known as "grape cluster," "soap bubble appearance," or "isodense lesion" that resemble tuberculomas can be seen on brain scans using and MRI in individuals with cerebral paragonimiasis. In comparison, CT scans was a more effective method for observing lung lesions than unlike the chest X-ray 4 .…”

Section: X-rays and Other Imaging Techniquementioning

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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Section: X-rays and Other Imaging Techniquementioning

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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“…Serological diagnosis by immunoblot has excellent sensitivity and specificity (96 and 99%, respectively) and is performed at CDC reference laboratories [ 3 ]. Imaging findings are variable but include chest nodules, ground glass opacities, or worm cysts that can appear as conglomerate cavities resembling “bunches of grapes” [ 7 ].…”

Section: A 15-year Old Burmese Girl With Hemoptysismentioning

confidence: 99%

A 15-Year Old Burmese Girl With Hemoptysis: A Case Report

McLeod

Yeoh

Truarn

et al. 2017

Open Forum Infectious Diseases

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We report the case of a 15-year-old Burmese girl who presented with hemoptysis 3 years after immigrating to Australia with a background of previously treated pulmonary tuberculosis at 6 years of age. Cavitation in the right upper lobe had originally been identified on her baseline chest radiograph following arrival to Australia; extensive investigations were conducted thereafter to exclude causes of cavitary lung disease; these were negative. Paragonimus westermani was finally diagnosed on serological grounds 3 years after this child’s original presentation, with subsequent identification of P. westermani ova in sputum and in stool. Clinicians should be alert to the possibility of Paragonimiasis in children who have traveled to or originate from endemic countries who present with a clinically compatible illness. Treatment is simple and effective. Failure to consider this pathogen early may result in unnecessary investigative workup and delayed diagnosis.

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“…Легочный рисунок усилен и деформирован, корни легких расширены, реберная, междолевая плевра уплотнена, реберно-диафрагмальные синусы «запаяны», могут выявляться плевральные спайки. Через несколько лет, после гибели гельминтов, в легких обнаруживаются очаги фиброза и кальцинаты размером 2-5 мм (склеротическая стадия) [6,12,20,21,32,33].…”

unclassified

“…В миграционной фазе также отмечаются воспалительные изменения сальника и скопление асцитической жидкости вокруг печени. В печени миграционные ходы определяются в виде серпантинных поражений, приближающихся к плевре и легким [12,20,21,32,33,34].…”

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