Cavitary mass lesion and recurrent pneumothoraces due to Paragonimus kellicotti infection: North American paragonimiasis.
North American paragonimiasis is well described in omnivorous and carnivorous animals on this continent. Humans are rarely infected, largely because of dietary customs, but are at risk for infection if raw or undercooked crayfish are consumed. We describe a patient with a pleuropulmonary infection due to Paragonimus kellicotti that presented as recurrent pneumothoraces and a cavitary lesion. This is the first case of North American paragonimiasis in which the diagnosis was based on the morphology of the eggs present in histologic sections.
Castilla
Elias A
EA
Departments of Clinical and Anatomic Pathology, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA. procpg@ccf.org
Jessen
Robert
R
Sheck
David N
DN
Procop
Gary W
GW
D000328:Adult; D000818:Animals; D000871:Anthelmintics / Q000627:therapeutic use; D006469:Hemoptysis / Q000469:parasitology; D006801:Humans; D008174:Lung Diseases, Parasitic / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery; D008297:Male; D009656:North America; D010237:Paragonimiasis / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery; D010238:Paragonimus / Q000302:isolation & purification* / Q000472:pathogenicity / Q000502:physiology; D011223:Praziquantel / Q000627:therapeutic use; D013908:Thoracotomy; D016896:Treatment Outcome
D000871:Anthelmintics; D011223:Praziquantel