Journal article
Human Paragonimiasis in North America following Ingestion of Raw Crayfish
Clinical infectious diseases, v 49(6), pp E55-E61
15 Sep 2009
PMID: 19681705
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Paragonimiasis (human infections with the lung fluke Paragonimus westermani) is an important public health problem in parts of Southeast Asia and China. Paragonamiasis has rarely been reported from North America as a zoonosis caused by Paragonimus kellicotti. Paragonimus species have complex life cycles that require 2 intermediate hosts, namely, snails and crustaceans (ie, crabs or crayfish). Humans acquire P. kellicotti when they consume infected raw crayfish. Humans with paragonimiasis usually present with fever and cough, which, together with the presentation of hemoptysis, can be misdiagnosed as tuberculosis. Only 7 autochthonous cases of paragonimiasis have been previously reported from North America. Our study describes 3 patients with proven or probable paragonimiasis with unusual clinical features who were seen at a single medical center during an 18-month period. These patients acquired their infections after consuming raw crayfish from rivers in Missouri. It is likely that other patients with paragonimiasis have been misdiagnosed and improperly treated. Physicians should consider the possibility that patients who present with cough, fever, hemoptysis, and eosinophilia may have paragonimiasis.
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Details
- Title
- Human Paragonimiasis in North America following Ingestion of Raw Crayfish
- Creators
- Michael A. Lane - Washington University in St. LouisMary C. Barsanti - Washington University in St. LouisCarlos A. Santos - Washington University in St. LouisMichael Yeung - Washington University in St. LouisSam J. Lubner - Washington University in St. LouisGary J. Weil - Washington University in St. Louis
- Publication Details
- Clinical infectious diseases, v 49(6), pp E55-E61
- Publisher
- Oxford Univ Press
- Number of pages
- 7
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Neurobiology and Anatomy
- Web of Science ID
- WOS:000269145100033
- Scopus ID
- 2-s2.0-70049092747
- Other Identifier
- 991019298806404721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Immunology
- Infectious Diseases
- Microbiology