1921
Volume 96, Issue 1
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645

Abstract

Abstract

A 30-year-old male, from a subtropical region of Ecuador, was hospitalized with a 5-year history of persistent cough with rusty brown sputum, chest pain, and progressive dyspnea. The patient underwent thoracic surgery 3 years ago for pleural effusion and subsequently received a 9-month regimen treatment of tuberculosis. However, there was no clinical resolution and symptoms became progressively worse. A chest radiograph and computerized tomography scan showed several small nodules in both lungs. Eggs of spp. were observed in sputum smears, but the smears were negative for acid-fast bacilli. Molecular characterization of eggs by the internal transcribed spacer-2 regions identified them as . The patient was treated with praziquantel and tested negative parasitologically for 12 months. There was clinical resolution of the cough and expectoration, but dyspnea and chest pain persisted.

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References

  1. Daumerie D, Savioli L, Crompton D, Peters P, , 2010. Working to Overcome the Global Impact of Neglected Tropical Diseases: First WHO Report on Neglected Tropical Diseases. Geneva, Switzerland: World Health Organization. [Google Scholar]
  2. Calvopina M, Romero D, Castañeda B, Hashiguchi Y, Sugiyama H, , 2014. Current status of Paragonimus and paragonimiasis in Ecuador. Mem Inst Oswaldo Cruz 109: 849855.[Crossref] [Google Scholar]
  3. Acha P, Szyfres B, , 2003. Paragonimiasis. Zoonosis y Enfermedades Transmisibles Comunes al Hombre y a los Animales: Parasitosis, 3rd edition, Volume 3. Washington, DC: Pan American Health Organization, 158164. [Google Scholar]
  4. Shim YS, Cho SY, Han YC, , 1991. Pulmonary paragonimiasis: a Korean perspective. Semin Respir Crit Care Med 12: 3545.[Crossref] [Google Scholar]
  5. Im JG, Whang HY, Kim WS, Han MC, Shim YS, Cho SY, , 1992. Pleuropulmonary paragonimiasis: radiologic findings in 71 patients. Am J Roentgenol 159: 3943.[Crossref] [Google Scholar]
  6. Zhong HL, Chung HL, He LY, Ho LY, Xu ZB, Hsu CP, Cao WJ, Tsao WC, , 1981. Recent progress in studies of Paragonimus and paragonimiasis control in China. Chin Med J (Engl) 94: 483494. [Google Scholar]
  7. Peñafiel W, Dávalos R, Coloma M, , 1981. Paragonimiasis pulmonar. Revisión clínica de 92 casos. Rev Fac Cienc Med 6: 253261. [Google Scholar]
  8. Singh TS, Mutum SS, Razaque MA, , 1986. Pulmonary paragonimiasis: clinical features, diagnosis and treatment of 39 cases in Manipur. Trans R Soc Trop Med Hyg 80: 967971.[Crossref] [Google Scholar]
  9. Sugiyama H, Singh TS, Rangsiruji A, Dongyou L, , 2013. Paragonimus. , ed. Molecular Detection of Human Parasitic Pathogens. Boca Raton, FL: CRC Press, 423436. [Google Scholar]
  10. Díaz G, Calvopina M, Guderian R, Amunárriz M, , 1991. Control de la Paragonimiasis en el Ecuador. Boletín Epidemiológico. Programa de Enfermedades Tropicales. Quito, Ecuador: Ministerio de Salud Pública, 118. [Google Scholar]
  11. Gómez-Seco J, Rodríguez-Guzmán MJ, Rodríguez-Nieto MJ, Gómez-Escolar PF, Presa-Abos T, Fortes-Alen J, , 2011. Pulmonary paragonimiasis. Arch Bronconeumol 47: 610612.[Crossref] [Google Scholar]
  12. Lall M, Sahni AK, Rajput AK, , 2013. Pleuropulmonary paragonimiasis: mimicker of tuberculosis. Pathog Glob Health 107: 4042.[Crossref] [Google Scholar]
  13. Ministerio de Salud Pública del Ecuador, 2010. Manual de Normas y Procedimientos para el Control de la Tuberculosis. Quito, Ecuador: Ministerio de Salud Pública, 1336. [Google Scholar]
  14. Kim TS, Han J, Shim SS, Jeon K, Koh WJ, Lee I, Lee KS, Kwon OJ, , 2005. Pleuropulmonary paragonimiasis: CT findings in 31 patients. Am J Roentgenol 185: 616621.[Crossref] [Google Scholar]
  15. Slesak G, Inthalad S, Basy P, Keomanivong D, Phoutsavath O, Khampoui S, Grosrenaud A, Amstutz V, Barennes H, Buisson Y, Odermatt P, , 2011. Ziehl-Neelsen staining technique can diagnose paragonimiasis. PLoS Negl Trop Dis 5: 18.[Crossref] [Google Scholar]
  16. Consejo Nacional de Salud, 2014. Cuadro Nacional de Medicamentos Básicos y Registro Terapéutico, 9th edition. Quito, Ecuador: Ministerio de Salud Pública, 586. [Google Scholar]
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  • Received : 02 May 2016
  • Accepted : 22 Sep 2016

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