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Volume 18, Number 8—August 2012

CME ACTIVITY - Research

Paragonimus kellicotti Flukes in Missouri, USA

Michael A. LaneComments to Author , Luis A. Marcos, Nur F. Onen, Lee M. Demertzis, Ericka V. Hayes, Samuel Z. Davila, Diana R. Nurutdinova, Thomas C. Bailey, and Gary J. Weil
Author affiliations: Washington University School of Medicine, St. Louis, Missouri, USA (M.A. Lane, L.A. Marcos, N.F. Onen, L.M. Demertzis, E.V. Hayes, S.Z. Davila, D.R. Nurutdinova, T.C. Bailey, G.J. Weil); and John Cochran Veterans Administration Medical Center, St. Louis (D.R. Nurutdinova)

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Table 1

Characteristics of 9 patients infected with Paragonimus kellicotti flukes, Missouri, USA, September 2009–October 2010*

Patient no. Age, y/sex Location Incubation period, wk Signs and symptoms Time to diagnosis, wk Method of diagnosis Reference
1 31/M Jacks Fork and Current Rivers 2 Fever, pharyngitis, cough, dyspnea, eosinophilia 3 Clinical history (19)
2 26/F Meramec River 2 Fatigue, cough, fever, eosinophilia 12 Serologic analysis (19)
3 32/M Current River 3 Fever, malaise, cough, headache, eosinophilia 12 Serologic analysis (19)
4 28/M Huzzah River 8 Fever, myalgia, malaise, cough, weight loss, eosinophilia 12 Clinical history NA
5 10/M Current River 16 Fever, myalgia, malaise, cough, chest pain, weight loss, eosinophilia 3 Clinical history NA
6 20/M Jacks Fork River 12 Fever, night sweats, malaise, cough, dyspnea, chest pain, weight loss, eosinophilia 36 Serologic analysis NA
7 22/M Jacks Fork River 6 Fever, night sweats, cough, dyspnea, chest pain, weight loss, eosinophilia 40 Serologic analysis, sputum ova and parasite examination NA
8 30/M Jacks Fork River 2 Fever, night sweats, malaise, cough, dyspnea, chest pain, weight loss, eosinophilia 16 Serologic analysis NA
9 43/M Missouri River 12 Cough, dyspnea, chest pain, weight loss, eosinophilia 83 Serologic analysis NA

*Patients 4–9 were not previously reported. NA, not applicable.

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