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Year : 1992  |  Volume : 10  |  Issue : 4  |  Page : 243-247

Paragonimiasis : Review Of 45 Cases

Correspondence Address:
Shantikumar T Singh

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Source of Support: None, Conflict of Interest: None

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Forty-five cases of paragonimiasis in children aged 1 to 15 years reported from Manipur. Different clinical forms of paragonimiasis: pleuro-pulmonary (34): cutaneous (7); pericardial (2); pleuro-pulmaonary associated with congestive heart failure (1); and abdominal (1) are identified. Passage of blood stained sputum or recurrent hemoptysis ans brathlessness are major presenting sysmptoms of pleuro-pulmonary paragonimiasis. All the children reacted to Paragonimus antigen on intradermal test. Paragonimus eggs are seen in the sputum samples of all pulmonary forms with or without associated complications. Eosinophilia and raised erythrocyle sedimentation rate (ESR) are consistent findings in pleural effusion, cutaneous, and pericardial forms whereas in pulmonary paragonimiasis eosinophilia is in 100 percent. History of eating raw or undercooked crabs and or crayfish in endemic area, positive skin test, marked eosinophilia in the absence of other possible causes may help in the diagnosis of paragonimiasis even if Paragonimus ova not be found in the pathological specimens.


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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