title: Paragonimus kellicotti flukes in Missouri, USA.
abstract: Paragonimiasis is an infection caused by lung flukes of the genus Paragonimus. In Asia, P. westermani infections are relatively common because of dietary practices. However, in North America, cases of paragonimiasis, which are caused by P. kellicotti flukes, are rare. Only 7 autochthonous cases of paragonimiasis were reported during 1968-2008. In 2009, we reported 3 new case-patients with paragonimiasis who had been seen at our medical center over an 18-month period. Six additional case-patients were identified in St. Louis, Missouri, USA, and treated at Washington University-affiliated health centers in 2009-2010. We report detailed descriptions of these case-patients, which includes unusual clinical manifestations. We also describe public health interventions that were undertaken to inform the general public and physicians about the disease and its mode of transmission.
authors: Department of Infectious Diseases, Washington University School of Medicine, St Louis, Missouri 63110, USA. mlane@dom.wustl.edu
authors: Michael A
authors: MA
authors: Lane
authors: Luis A
authors: LA
authors: Marcos
authors: Nur F
authors: NF
authors: Onen
authors: Lee M
authors: LM
authors: Demertzis
authors: Ericka V
authors: EV
authors: Hayes
authors: Samuel Z
authors: SZ
authors: Davila
authors: Diana R
authors: DR
authors: Nurutdinova
authors: Thomas C
authors: TC
authors: Bailey
authors: Gary J
authors: GJ
authors: Weil
mesh_terms: D000328:Adult; D000818:Animals; D000871:Anthelmintics / Q000627:therapeutic use; D003400:Astacoidea / Q000469:parasitology; D002648:Child; D021821:Communicable Diseases, Emerging / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology* / Q000469:parasitology; D005260:Female; D005506:Food Contamination; D006801:Humans; D008174:Lung Diseases, Parasitic / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology* / Q000469:parasitology; D008297:Male; D008923:Missouri / Q000453:epidemiology; D010237:Paragonimiasis / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology* / Q000469:parasitology; D010238:Paragonimus / Q000145:classification / Q000302:isolation & purification; D011223:Praziquantel / Q000627:therapeutic use; D012758:Shellfish / Q000469:parasitology; D055815:Young Adult
chemical_list: D000871:Anthelmintics; D011223:Praziquantel