Paragonimiasis, a case report
Keywords:
paragonimiasis, zoonosis, lung parenchyma, crabs, pulmonary tuberculosis, lobar pneumonia or pulmonary spirochetosis, bronchoscopyAbstract
Paragonimiasis is a zoonotic infection that affects the lung parenchyma. The source of infection for humans and other definitive hosts are the crabs. The peak incidence occurs in people 11 to 15 years old. In areas where the population consumes raw crabs or river shrimp, this disease should be considered as a differential diagnosis of pulmonary tuberculosis, lobar pneumonia or pulmonary spirochetosis. We report a case of a 14-year-old male, resident in Pedernales, Ecuador; with dyspnea, chest pain, persistent and productive cough, blood-tinged sputum, was misdiagnosed of pneumonia. The diagnosis was established by a complete blood cell count, chest X-ray, lung aspirate, sputum smear and culture, and bronchoscopy. The latter method is an effective and valuable technology that can help make an accurate diagnosis. The patient received treatment with praziquantel with a favorable outcome.
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Copyright (c) 2016 Brian Mayorga, Daniela Naranjo, Luisa Morales, Alfredo Naranjo
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