title: Pulmonary paragonimiasis.
abstract: A 27-year-old married male from Lamdeng village of Imphal West District, Manipur presented with cough, fever, haemoptysis, anorexia and weight loss, and was treated with antituberculosis drugs continuously for one year without improvement. He also had history of ingestion of raw crabs. Chest radiograph revealed right midzone lesion with cavitation. Laboratory investigations revealed peripheral blood eosinophilia, elevated erythrocyte sedimentation rate and sputum smear revealed eggs of Paragonimus westermani. He responeded well to treatment with praziquantel 25 mg/kg, three times a day for three days and is doing well on follow-up. Pulmonary paragonimiasis must be considered in the differential diagnosis of slowly resolving pneumonias, especially in the appropriate clinical setting because effective treatment with praziquantel can be rewarding.
authors.affiliation: Department of Microbiology, Regional Institute of Medical Sciences, Imphal, Manipur, India. nadakr@rediffmail.com
authors.forename: Th Nabakumar
authors.initials: TN
authors.lastname: Singh
authors.forename: H Rebachandra
authors.initials: HR
authors.lastname: Singh
authors.forename: Kh Sulochana
authors.initials: KhS
authors.lastname: Devi
authors.forename: Ng Brajachand
authors.initials: NB
authors.lastname: Singh
authors.forename: Y Ibotomba
authors.initials: YI
authors.lastname: Singh
mesh_terms: D000328:Adult; D000871:Anthelmintics / Q000627:therapeutic use; D003937:Diagnosis, Differential; D006801:Humans; D008174:Lung Diseases, Parasitic / Q000175:diagnosis* / Q000188:drug therapy; D008297:Male; D010237:Paragonimiasis / Q000175:diagnosis* / Q000188:drug therapy; D048492:Paragonimus westermani; D011223:Praziquantel / Q000627:therapeutic use; D014397:Tuberculosis, Pulmonary / Q000175:diagnosis
chemical_list: D000871:Anthelmintics; D011223:Praziquantel