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 CASE REPORT
Year : 2005  |  Volume : 23  |  Issue : 2  |  Page : 131-134

Pleuropulmonary Paragonimiasis mimicking Pulmonary Tuberculosis - A Report of Three Cases


1 Department of Microbiology, Regional Institute of Medical Sciences, Lamphelpat - 795 004, India
2 Department of Microbiology, Regional Institute of Medical Sciences, Lamphelpat - 795 004

Correspondence Address:
T N Singh
Department of Microbiology, Regional Institute of Medical Sciences, Lamphelpat - 795 004, Manipur
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0255-0857.16056

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Paragonimiasis is an important cause of pulmonary disease worldwide. Infection in humans mainly occurs by ingestion of raw or undercooked freshwater crabs or crayfishes. The disease is well known in endemic regions of Asian countries, where culturally based methods of food preparation foster human transmission. Three patients with clinical and radiological features compatible with pulmonary tuberculosis had been treated for tuberculosis without remedy despite an inability to demonstrate acid fast bacilli in sputum smears. All patients had history of ingestion of raw crabs and crayfishes. The confirmed diagnosis of pleuropulmonary paragonimiasis was made based on the demonstration of Paragonimus eggs in the sputum, and high absolute eosinophilia in their peripheral blood and pleural fluid. All the patients had been treated with praziquantel successfully.






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2004 - Indian Journal of Medical Microbiology
Published by Wolters Kluwer - Medknow

Online since April 2001, new site since 1st August '04