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Indian Journal of Medical Microbiology
Medknow Publications on behalf of Indian Association of Medical Microbiology
ISSN: 0255-0857
EISSN: 0255-0857
Vol. 23, No. 2, 2005, pp. 131-134
Bioline Code: mb05035
Full paper language: English
Document type: Research Article
Document available free of charge

Indian Journal of Medical Microbiology, Vol. 23, No. 2, 2005, pp. 131-134

 en Case Report - Pleuropulmonary Paragonimiasis mimicking Pulmonary Tuberculosis - A Report of Three Cases
Singh TN, Kananbala S, Devi KD


Paragonimiasis is an important cause of pulmonary disease worldwide. Infection in humans mainly occurs by ingestion of raw or undercooked freshwater crabs or crayfishes. The disease is well known in endemic regions of Asian countries, where culturally based methods of food preparation foster human transmission. Three patients with clinical and radiological features compatible with pulmonary tuberculosis had been treated for tuberculosis without remedy despite an inability to demonstrate acid fast bacilli in sputum smears. All patients had history of ingestion of raw crabs and crayfishes. The confirmed diagnosis of pleuropulmonary paragonimiasis was made based on the demonstration of Paragonimus check for this species in other resources eggs in the sputum, and high absolute eosinophilia in their peripheral blood and pleural fluid. All the patients had been treated with praziquantel successfully.

Paragonimiasis, Raw crabs, Raw crayfishes, Pleural effusion, Praziquantel

© Copyright 2005 Indian Journal of Medical Microbiology.
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