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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Main Authors: Eric Johannesen, Van Nguyen
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Pathology
Online Access:http://dx.doi.org/10.1155/2016/2107372
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author Eric Johannesen
Van Nguyen
author_facet Eric Johannesen
Van Nguyen
author_sort Eric Johannesen
collection DOAJ
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.
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spelling doaj-art-9c56defeb7ba49e3b3be249b412702c62025-02-03T06:44:44ZengWileyCase 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
spellingShingle Eric Johannesen
Van Nguyen
Paragonimus kellicotti: A Lung Infection in Our Own Backyard
Case Reports in Pathology
title 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_short Paragonimus kellicotti: A Lung Infection in Our Own Backyard
title_sort paragonimus kellicotti a lung infection in our own backyard
url http://dx.doi.org/10.1155/2016/2107372
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AT vannguyen paragonimuskellicottialunginfectioninourownbackyard