Description

Paragonimus species are lung flukes affecting humans and other carnivores. Migrating larvae may involve extrapulmonary sites, especially the brain in young patients.


 

Patients usually have lived or traveled to Southeast Asia, Africa or Latin America.

 

Persons with light infections may be asymptomatic.

 

A person with a heavy infestation may experience:

(1) lung nodules or cavitary lesions with chronic cough, dyspnea and sputum that is blood-tinged or "rusty"

(2) pleuritis, pleural effusions or vague chest pains

(3) cerebral cysts with headache, meningeal signs, nausea and vomiting, paralysis, visual disturbances, sensory disturbances, seizures, subarachnoid hemorrhage and/or motor weakness

(4) migratory subcutaneous nodules or larva migrans

(5) eosinophilia

 

Fever, fatigue, urticaria, and diarrhea may occur after the initial incubation period.

 

Diagnosis:

(1) finding eggs in the sputum, stool or gastric aspirate

(2) serologic tests

(3) lung or tissue biopsy

 


To read more or access our algorithms and calculators, please log in or register.