Case Report: Paragonimiasis Presenting with Pericardial Tamponade

Ranjit Sah Department of Internal Medicine (Division of Infectious Disease), Medanta The Medicity, Gurgaon, India;
Institute of Medicine, Tribhuvan University, Kathmandu, Nepal;

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Neha Gupta Department of Internal Medicine (Division of Infectious Disease), Medanta The Medicity, Gurgaon, India;

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Poulomi Chatterji Department of Respiratory and Sleep Medicine, Medanta The Medicity, Gurgaon, India;

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Sonal Krishan Department of Radiology and Imaging, Medanta The Medicity, Gurgaon, India;

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Monika Aggarwal Department of Radiology and Imaging, Medanta The Medicity, Gurgaon, India;

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Nitin Sood Department of Medical and Hemato-Oncology, Cancer Institute, Medanta The Medicity, Gurgaon, India;

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Samikshya Neupane Institute of Medicine, Tribhuvan University, Kathmandu, Nepal;

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Sanjit Sah Institute of Medicine, Tribhuvan University, Kathmandu, Nepal;

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Ranjana Sah Institute of Medicine, Tribhuvan University, Kathmandu, Nepal;

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Sven Poppert Department of Medicine, Swiss Tropical and Public Health Institute, Basel, Switzerland;
University of Basel, Basel, Switzerland

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Marie-Therese Ruf Department of Medicine, Swiss Tropical and Public Health Institute, Basel, Switzerland;
University of Basel, Basel, Switzerland

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Beatrice Nickel Department of Medicine, Swiss Tropical and Public Health Institute, Basel, Switzerland;
University of Basel, Basel, Switzerland

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Andreas Neumayr Department of Medicine, Swiss Tropical and Public Health Institute, Basel, Switzerland;
University of Basel, Basel, Switzerland

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We report an unusual case of paragonimiasis in a Nepali patient presenting with massive pericardial effusion and pericardial tamponade. The patient reported neither the consumption of crabs or crayfish nor the consumption of wild animal meat, which are the usual sources of infection. It is suspected that the source of infection was instead the ingestion of raw live slugs as part of a traditional medicine treatment.

Author Notes

Address correspondence to Ranjit Sah, Department of Microbiology, Tribhuvan University and Teaching Hospital (TUTH), Institute of Medicine, Maharajgunj, Kathmandu, Nepal 44600. E-mail: ranjitsah@iom.edu.np

Authors’ addresses: Ranjit Sah, Division of Infectious Disease, Department of Internal Medicine, Medanta The Medicity, Gurgaon, India, and Institute of Medicine, Tribhuvan University, Kathmandu, Nepal, E-mail: ranjitsah@iom.edu.np. Neha Gupta, Division of Infectious Disease, Department of Internal Medicine, Medanta The Medicity, Gurgaon, India, E-mail: nehathedoc@gmail.com. Poulomi Chatterji, Department of Respiratory and Sleep Medicine, Medanta The Medicity, Gurgaon, India, E-mail: poulomi.chatterji@gmail.com. Sonal Krishan and Monika Aggarwal, Department of Radiology and Imaging, Medanta The Medicity, Gurgaon, India, E-mails: sonalkrishan11@gmail.com and monika.aggarwal@medanta.org. Nitin Sood, Department of Medical and Hemato-Oncology, Cancer Institute, Medanta The Medicity, Gurgaon, India, E-mail: nitin.sood@medanta.org. Samikshya Neupane, Sanjit Sah, and Ranjana Sah, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal, E-mails: samyk.nep@gmail.com, sanjitsah101@gmail.com, and ranusah7@gmail.com. Sven Poppert, Marie-Therese Ruf, Beatrice Nickel, and Andreas Neumayr, Department of Medicine, Swiss Tropical and Public Health Institute, Basel, Switzerland, E-mails: sven.poppert@swisstph.ch, therese.ruf@swisstph.ch, beatric.nickel@swisstph.ch, and andreas.neumayr@swisstph.ch.

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