Volume 18, Number 8—August 2012
CME ACTIVITY
Paragonimus kellicotti Flukes in Missouri, USA
Michael A. Lane
, 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
, Luis A. Marcos, Nur F. Onen, Lee M. Demertzis, Ericka V. Hayes, Samuel Z. Davila, Diana R. Nurutdinova, Thomas C. Bailey, and Gary J. WeilTable 2
Clinical and laboratory findings for 9 patients infected with Paragonimus kellicotti flukes, Missouri, USA, September 2009–October 2010*
| Characteristic | Value |
|---|---|
| Age, y, median (range) | 28 (10–43) |
| Male sex | 8 (88.9) |
| Alcohol consumption | 7 (77.8) |
| Incubation period, wk, median (range) | 4 (2–12) |
| Duration of symptoms before examination, wk, median (range) | 2 (2–8) |
| Signs and symptoms | |
|
Fever |
8 (88.9) |
|
Cough |
9 (100.0) |
|
Chest pain |
6 (66.7) |
|
Dyspnea |
4 (44.4) |
|
Night sweats |
5 (55.6) |
|
Malaise |
5 (55.6) |
|
Abdominal pain |
2 (22.2) |
|
Weight loss |
7 (77.8) |
| Laboratory findings | |
|
Eosinophils/mm3 at first examination, mean (range) |
1,626 (800–3,600) |
|
% Eosinophils at first examination, mean (range) |
15 (6–30) |
|
Positive paragonimus immunoblot result† |
5 (71.4) |
|
Positive sputum ova and parasite test result† |
1 (14.2) |
| Radiographic findings | |
|
Pleural effusion |
9 (100.0) |
|
Nodule |
4 (44.4) |
|
Pericardial effusion |
4 (44.4) |
*Values are no. (%) unless otherwise indicated.
†n = 7.
