Paragonimiasis (Distomiasis; Endemic Hemoptysis)
General: Chronic lung infection; causative agent is Paragonimus trematode; 151e48b transmitted by eating undercooked crabs or crayfish and drinking contaminated water; affects all ages; most severe in children.
Ocular: Convergence paralysis; optic atrophy; lid cysts; dacryocystitis; papilledema; homonymous hemianopsia.
Clinical: Hemoptysis; dyspnea; fever; anorexia; weight loss; pleural effusion; pneumothorax; diarrhea; epileptic seizures; hemiplegia; leukocytosis; eosinophilia; anemia; cystic bronchiectasis; encephalitis; chronic bronchitis; intestinal or peritoneal infections; central nervous system (CNS) paragonimiasis occurs predominantly in persons under age 30 years.
Kasper DL, et al., eds. Harrisons Principles of Internal Medicine, 16th ed. New York: McGraw-Hill, 2005.
Kirkpatrick JB. Neurologic infections due to bacteria, fungi and parasites. In: Davis RL, Robertson DM, eds. Textbook of neuropathology, 2nd ed. Baltimore: Williams & Wilkins, 1991:719-803.
Kusner DJ, King CH. Cerebral paragonimiasis. Semin Neurol 1993; 13:201-208.
Romeo DP, et al. Pulmonary paragonimiasis: diagnostic value of pleural fluid analysis. South Med J 1986; 79: 241-243.
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