Paragonimus kellicotti: A Lung Infection in Our Own Backyard
Paragonimiasis is an infection caused by the lung fluke of the genus Paragonimus. Within the United States, paragonimiasis has been commonly diagnosed in Southeast Asian immigrants infected with the Asian lung fluke Paragonimus westermani. Infections from the North American lung fluke, Paragonimus k...
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Online Access: | http://dx.doi.org/10.1155/2016/2107372 |
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doaj-9c56defeb7ba49e3b3be249b412702c62020-11-24T22:58:18ZengHindawi LimitedCase Reports in Pathology2090-67812090-679X2016-01-01201610.1155/2016/21073722107372Paragonimus kellicotti: A Lung Infection in Our Own BackyardEric Johannesen0Van Nguyen1Department of Pathology and Anatomical Sciences, University of Missouri, Columbia, MO 65203, USADepartment of Pathology and Anatomical Sciences, University of Missouri, Columbia, MO 65203, USAParagonimiasis is an infection caused by the lung fluke of the genus Paragonimus. Within the United States, paragonimiasis has been commonly diagnosed in Southeast Asian immigrants infected with the Asian lung fluke Paragonimus westermani. Infections from the North American lung fluke, Paragonimus kellicotti, have been rare, although more infections have been seen in people in the Midwestern United States. A 29-year-old male with a history of pleomorphic xanthoastrocytoma presented with hemoptysis. A CT scan showed a mass in the left upper lung lobe. A biopsy showed eosinophils and parasite eggs, some with a recognizable operculum. Further investigation revealed that he takes canoe trips on rivers within Missouri and would eat crayfish caught from these rivers. A blood sample was confirmed positive for Paragonimiasis serologically at the Center for Disease Control. Paragonimus kellicotti is found in rivers within the Mississippi basin. Infection occurs by consuming uncooked or undercooked crawfish. Microscopic identification of parasite eggs has been the gold standard. Serologic tests have been developed to aid in the diagnosis. Patients typically present with fever and hemoptysis. Common CT findings include pleural effusion, a mass, and lymphadenopathy. Awareness of P. kellicotti is important to guide appropriate diagnostic testing and ensuring proper treatment.http://dx.doi.org/10.1155/2016/2107372 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Eric Johannesen Van Nguyen |
spellingShingle |
Eric Johannesen Van Nguyen Paragonimus kellicotti: A Lung Infection in Our Own Backyard Case Reports in Pathology |
author_facet |
Eric Johannesen Van Nguyen |
author_sort |
Eric Johannesen |
title |
Paragonimus kellicotti: A Lung Infection in Our Own Backyard |
title_short |
Paragonimus kellicotti: A Lung Infection in Our Own Backyard |
title_full |
Paragonimus kellicotti: A Lung Infection in Our Own Backyard |
title_fullStr |
Paragonimus kellicotti: A Lung Infection in Our Own Backyard |
title_full_unstemmed |
Paragonimus kellicotti: A Lung Infection in Our Own Backyard |
title_sort |
paragonimus kellicotti: a lung infection in our own backyard |
publisher |
Hindawi Limited |
series |
Case Reports in Pathology |
issn |
2090-6781 2090-679X |
publishDate |
2016-01-01 |
description |
Paragonimiasis is an infection caused by the lung fluke of the genus Paragonimus. Within the United States, paragonimiasis has been commonly diagnosed in Southeast Asian immigrants infected with the Asian lung fluke Paragonimus westermani. Infections from the North American lung fluke, Paragonimus kellicotti, have been rare, although more infections have been seen in people in the Midwestern United States. A 29-year-old male with a history of pleomorphic xanthoastrocytoma presented with hemoptysis. A CT scan showed a mass in the left upper lung lobe. A biopsy showed eosinophils and parasite eggs, some with a recognizable operculum. Further investigation revealed that he takes canoe trips on rivers within Missouri and would eat crayfish caught from these rivers. A blood sample was confirmed positive for Paragonimiasis serologically at the Center for Disease Control. Paragonimus kellicotti is found in rivers within the Mississippi basin. Infection occurs by consuming uncooked or undercooked crawfish. Microscopic identification of parasite eggs has been the gold standard. Serologic tests have been developed to aid in the diagnosis. Patients typically present with fever and hemoptysis. Common CT findings include pleural effusion, a mass, and lymphadenopathy. Awareness of P. kellicotti is important to guide appropriate diagnostic testing and ensuring proper treatment. |
url |
http://dx.doi.org/10.1155/2016/2107372 |
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