title: Otitis media and a neck lump--current diagnostic challenges for Paragonimus-like trematode infections.
abstract: A 29 year-old Nigerian studying in the UK presented with a neck lump and otitis media. Paragonimus-like trematode eggs were found in the neck lump aspirate. Morphologically these eggs resembled Paragonimus uterobilateralis or Achillurbainia congolensis. We favoured the diagnosis of achillurbainiasis over extrapulmonary paragonimiasis on the basis of clinical features and because we could not amplify DNA sequences using PCR primers specific for Paragonimus species. We discuss current diagnostic challenges for this rare parasitic infection.
authors.affiliation: Microbiology Department, Leeds General Infirmary, Great George Street, Leeds LS1 3EX, UK.
authors.forename: H
authors.initials: H
authors.lastname: Schuster
authors.forename: F O
authors.initials: FO
authors.lastname: Agada
authors.forename: A R
authors.initials: AR
authors.lastname: Anderson
authors.forename: R S
authors.initials: RS
authors.lastname: Jackson
authors.forename: D
authors.initials: D
authors.lastname: Blair
authors.forename: H
authors.initials: H
authors.lastname: McGann
authors.forename: G
authors.initials: G
authors.lastname: Kelly
mesh_terms: D000328:Adult; D000818:Animals; D006801:Humans; D008297:Male; D009333:Neck / Q000469:parasitology / Q000473:pathology*; D010033:Otitis Media / Q000469:parasitology*; D010238:Paragonimus / Q000145:classification* / Q000254:growth & development / Q000302:isolation & purification; D010270:Parasite Egg Count; D014200:Trematoda / Q000145:classification* / Q000254:growth & development / Q000302:isolation & purification*; D014201:Trematode Infections / Q000175:diagnosis* / Q000469:parasitology / Q000473:pathology