title: Cerebral Paragonimiasis Presenting with Sudden Death.
abstract: A 58-year-old Korean-born woman with a history of seizures and psychiatric issues was found dead at home. Autopsy was notable for large, calcified nodules that had nearly replaced her right temporal lobe. Histologic examination revealed the presence of Paragonimus eggs. This case demonstrates a rare manifestation of an aberrantly migrated lung fluke that resulted in epilepsy and sudden death years after the initial infection.
authors.affiliation: Department of Pathology, University of California San Diego School of Medicine, La Jolla, California.
authors.forename: Deirdre E
authors.initials: DE
authors.lastname: Amaro
authors.affiliation: Department of Medicine, University of California San Diego School of Medicine, La Jolla, California.
authors.forename: Annie
authors.initials: A
authors.lastname: Cowell
authors.affiliation: Department of Molecular Pathology, Cleveland Clinic, Cleveland, Ohio.
authors.forename: Marion J
authors.initials: MJ
authors.lastname: Tuohy
authors.affiliation: Department of Molecular Pathology, Cleveland Clinic, Cleveland, Ohio.
authors.forename: Gary W
authors.initials: GW
authors.lastname: Procop
authors.affiliation: Department of the Medical Examiner, San Diego County, Medical Examiner's Office, San Diego, California.
authors.forename: Jacquelyn
authors.initials: J
authors.lastname: Morhaime
authors.affiliation: Department of Pathology, University of California San Diego School of Medicine, La Jolla, California. slreed@ucsd.edu.|Department of Medicine, University of California San Diego School of Medicine, La Jolla, California.
authors.forename: Sharon L
authors.initials: SL
authors.lastname: Reed
mesh_terms: D000818:Animals; D001921:Brain / Q000469:parasitology / Q000473:pathology; D001927:Brain Diseases / Q000469:parasitology*; D003645:Death, Sudden; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008875:Middle Aged; D010237:Paragonimiasis / Q000453:epidemiology / Q000473:pathology*; D010238:Paragonimus / Q000302:isolation & purification