One delayed diagnosis of paragonimiasis case and literature review
Abstract Human paragonimiasis has been appearing all over the world due to increased human migration, international travel, and worldwide food trading. However, delayed and missed diagnosis rates are also increasing due to atypical clinical manifestations and the lack of disease understanding by cli...
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doaj-9c6002216c0a46158b693cb7098e80342021-04-28T11:36:28ZengWileyRespirology Case Reports2051-33802021-05-0195n/an/a10.1002/rcr2.750One delayed diagnosis of paragonimiasis case and literature reviewLuxia Kong0Lijuan Hua1Qian Liu2Chen Bao3Jiannan Hu4Shuyun Xu5Department of Respiratory and Critical Care Medicine, Key Laboratory of Pulmonary Diseases of Health Ministry, Tongji Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan ChinaDepartment of Respiratory and Critical Care Medicine, Key Laboratory of Pulmonary Diseases of Health Ministry, Tongji Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan ChinaDepartment of Respiratory and Critical Care Medicine, Key Laboratory of Pulmonary Diseases of Health Ministry, Tongji Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan ChinaDepartment of Respiratory and Critical Care Medicine, Key Laboratory of Pulmonary Diseases of Health Ministry, Tongji Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan ChinaDepartment of Respiratory and Critical Care Medicine, Key Laboratory of Pulmonary Diseases of Health Ministry, Tongji Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan ChinaDepartment of Respiratory and Critical Care Medicine, Key Laboratory of Pulmonary Diseases of Health Ministry, Tongji Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan ChinaAbstract Human paragonimiasis has been appearing all over the world due to increased human migration, international travel, and worldwide food trading. However, delayed and missed diagnosis rates are also increasing due to atypical clinical manifestations and the lack of disease understanding by clinical workers. We describe the case of a 43‐year‐old man, who was hospitalized with cough and chest pain for two months. Chest computed tomography (CT) revealed bilateral emphysema, left pleural effusion, and bilateral atelectasis. The hypereosinophilia gave us a clue; ultimately, the diagnosis of paragonimiasis was made through a diet history and a positive result of serum Paragonimus sp. immunoglobulin (Ig) G antibody. Moreover, 27 misdiagnosed paragonimiasis cases in the past decade have been reported. We draw conclusions by summarizing their characteristics for suspicious eosinophilic paragonimiasis patients; we should inquire diet history carefully, test serum IgG antibodies, and try to detect eggs. Once diagnosed, praziquantel is preferred for treatment.https://doi.org/10.1002/rcr2.750Delayed diagnosishypereosinophiliaparagonimiasispraziquantel |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Luxia Kong Lijuan Hua Qian Liu Chen Bao Jiannan Hu Shuyun Xu |
spellingShingle |
Luxia Kong Lijuan Hua Qian Liu Chen Bao Jiannan Hu Shuyun Xu One delayed diagnosis of paragonimiasis case and literature review Respirology Case Reports Delayed diagnosis hypereosinophilia paragonimiasis praziquantel |
author_facet |
Luxia Kong Lijuan Hua Qian Liu Chen Bao Jiannan Hu Shuyun Xu |
author_sort |
Luxia Kong |
title |
One delayed diagnosis of paragonimiasis case and literature review |
title_short |
One delayed diagnosis of paragonimiasis case and literature review |
title_full |
One delayed diagnosis of paragonimiasis case and literature review |
title_fullStr |
One delayed diagnosis of paragonimiasis case and literature review |
title_full_unstemmed |
One delayed diagnosis of paragonimiasis case and literature review |
title_sort |
one delayed diagnosis of paragonimiasis case and literature review |
publisher |
Wiley |
series |
Respirology Case Reports |
issn |
2051-3380 |
publishDate |
2021-05-01 |
description |
Abstract Human paragonimiasis has been appearing all over the world due to increased human migration, international travel, and worldwide food trading. However, delayed and missed diagnosis rates are also increasing due to atypical clinical manifestations and the lack of disease understanding by clinical workers. We describe the case of a 43‐year‐old man, who was hospitalized with cough and chest pain for two months. Chest computed tomography (CT) revealed bilateral emphysema, left pleural effusion, and bilateral atelectasis. The hypereosinophilia gave us a clue; ultimately, the diagnosis of paragonimiasis was made through a diet history and a positive result of serum Paragonimus sp. immunoglobulin (Ig) G antibody. Moreover, 27 misdiagnosed paragonimiasis cases in the past decade have been reported. We draw conclusions by summarizing their characteristics for suspicious eosinophilic paragonimiasis patients; we should inquire diet history carefully, test serum IgG antibodies, and try to detect eggs. Once diagnosed, praziquantel is preferred for treatment. |
topic |
Delayed diagnosis hypereosinophilia paragonimiasis praziquantel |
url |
https://doi.org/10.1002/rcr2.750 |
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