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paragonimiasis

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paragonimiasis /par·a·gon·i·mi·a·sis/ (-gon´ĭ-mi´ah-sis) infection with flukes of the genus Paragonimus.
par·a·gon·i·mi·a·sis (pr-gn-m-ss)
n.
Infestation with a worm of the genus Paragonimus, especially P. westermani.

paragonimiasis
[per′əgon′imī′əsis]
Etymology: Gk, para + gonimos, generative, iasis, condition
chronic infection by the lung fluke Paragonimus westermani, occurring most commonly in Asia. It is characterized by hemoptysis, bronchitis, and occasionally abdominal masses; pain and diarrhea; ocular pathologic conditions; cerebral involvement with paralysis; or seizures. The disease is acquired by ingesting cysts in infected freshwater crabs or crayfish, the intermediate hosts. Praziquantel given orally is the usual treatment. Adequate cooking of shellfish prevents the disease.

paragonimiasis [par″ah-gon″ĭ-mi´ah-sis]
infection with flukes of the genus Paragonimus.

paragonimiasis
infection with lung flukes of the genus Paragonimus. Characterized by lethargy, cough, dyspnea. On autopsy there is an eosinophilic peritonitis, pleurisy and myositis, and a chronic bronchitis and granulomatous pneumonia.


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Paragonimiasis is a unique clinical situation that can cause a real diagnostic nightmare, even in a teaching hospital.
Paragonimiasis also occurs in the Republic of Korea and the Philippines, parts of Africa (eastern Nigeria and southwestern Cameroon), and South America (Ecuador and Peru) (17,18).
Patients with recent residence in or travel to foreign countries, especially Southeast Asia, who present with pulmonary lesions should have paragonimiasis included in the differential diagnosis.
 
 
 
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