title: [Pulmonary paragonimiasis].
abstract: Paragonimiasis is a food-borne zoonosis caused by a trematode of the genus Paragonimus(1,2). Infestation is rare in Spain, but the influx of people from endemic areas should make us keep this condition in the differential diagnosis of our patients(2,5). We report the case a patient from Ecuador and resident in Spain for 7 years with active pulmonary tuberculosis on arrival in Spain and later diagnosed with of pulmonary paragonimiasis due to persistent haemoptysis. The diagnosis was established by surgical lung specimen showing granulomas containing parasite eggs and the macroscopic view of the fluke within a lung cavity. Initial tuberculosis treatment and current treatment with praziquantel controlled both conditions.
authors.affiliation: Servicio de Neumología, Fundación Jiménez Díaz-Capio, Madrid, España. juliogomezseco2@telefonica.net
authors.forename: Julio
authors.initials: J
authors.lastname: Gómez-Seco
authors.forename: Marcel José
authors.initials: MJ
authors.lastname: Rodríguez-Guzmán
authors.forename: María Jesús
authors.initials: MJ
authors.lastname: Rodríguez-Nieto
authors.forename: Pablo Fernández
authors.initials: PF
authors.lastname: Gómez-Escolar
authors.forename: Teresa
authors.initials: T
authors.lastname: Presa-Abos
authors.forename: José
authors.initials: J
authors.lastname: Fortes-Alen
mesh_terms: D000328:Adult; D000818:Animals; D000871:Anthelmintics / Q000627:therapeutic use; D000995:Antitubercular Agents / Q000627:therapeutic use; D042063:Caulobacteraceae / Q000302:isolation & purification; D057210:Delayed Diagnosis; D004484:Ecuador / Q000208:ethnology; D004977:Ethambutol / Q000627:therapeutic use; D016266:Food Parasitology; D016905:Gram-Negative Bacterial Infections / Q000150:complications / Q000382:microbiology; D006099:Granuloma / Q000209:etiology / Q000469:parasitology; D006469:Hemoptysis / Q000209:etiology; D006801:Humans; D007538:Isoniazid / Q000627:therapeutic use; D008174:Lung Diseases, Parasitic / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000469:parasitology; D008297:Male; D010237:Paragonimiasis / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy; D018410:Pneumonia, Bacterial / Q000150:complications / Q000382:microbiology; D011223:Praziquantel / Q000627:therapeutic use; D011718:Pyrazinamide / Q000627:therapeutic use; D011859:Radiography; D012293:Rifampin / Q000008:administration & dosage; D013030:Spain; D014397:Tuberculosis, Pulmonary / Q000150:complications / Q000000981:diagnostic imaging / Q000188:drug therapy
chemical_list: D000871:Anthelmintics; D000995:Antitubercular Agents; D011718:Pyrazinamide; D011223:Praziquantel; D004977:Ethambutol; D007538:Isoniazid; D012293:Rifampin