Volume 18, Number 8—August 2012
CME ACTIVITY - Research
Paragonimus kellicotti Flukes in Missouri, USA
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.
References
- Ward HB. On the presence of Distoma westermanni in the United States. Vet Med. 1894;1:355–7.
- Watson TG, Nettles VF, Davidson WR. Endoparasites and selected infectious agents in bobcats (Felis rufus) from West Virginia and Georgia. J Wildl Dis. 1981;17:547–54.PubMed
- Davidson WR, Nettles VF, Hayes LE, Howerth EW, Couvillion CE. Diseases diagnosed in gray foxes (Urocyon cinereoargenteus) from the southeastern United States. J Wildl Dis. 1992;28:28–33.PubMed
- Ramsden RO, Presidente PJ. Paragonimus kellicotti infection in wild carnivores in southwestern Ontario: I. Prevalence and gross pathologic features. J Wildl Dis. 1975;11:136–41.PubMed
- Béland JE, Boone J, Donevan RE, Mankiewicz E. Paragonimiasis (the lung fluke). Report of four cases. Am Rev Respir Dis. 1969;99:261–71.PubMed
- Mariano EG, Borja SR, Vruno MJ. A human infection with Paragonimus kellicotti (lung fluke) in the United States. Am J Clin Pathol. 1986;86:685–7.PubMed
- Shim YS, Cho SY, Han YC. Pulmonary paragonimiasis: a Korean perspective. Semin Respir Med. 1991;12:35–45. DOI
- Im JG, Whang HY, Kim WS, Han MC, Shim YS, Cho SY. Pleuropulmonary paragonimiasis: radiologic findings in 71 patients. AJR Am J Roentgenol. 1992;159:39–43.PubMed
- Brenes Madrigal R, Rodriguez-Ortiz B, Vargas Solano G, Monge Ocampo Obando E, Ruiz Sotela PJ. Cerebral hemorrhagic lesions produced by Paragonimus mexicanus: report of three cases in Costa Rica. Am J Trop Med Hyg. 1982;31:522–6.PubMed
- Saborio P, Lanzas R, Arrieta G, Arguedas A. Paragonimus mexicanus pericarditis: report of two cases and review of the literature. J Trop Med Hyg. 1995;98:316–8.PubMed
- Yang SP, Huang CT, Cheng CS, Chiang LC. The clinical and roentgenological courses of pulmonary paragonimiasis. Dis Chest. 1959;36:494–508.PubMed
- Chang HT, Wang CW, Yu CF, Hsu CF, Fang JC. Paragonimiasis; a clinical study of 200 adult cases. Chin Med J. 1958;77:3–9.PubMed
- Shih YC. Ch’En Chang YC. Paragonimiasis of central nervous system; observations on 76 cases. Chin Med J. 1958;77:10–9.PubMed
- Slemenda SB, Maddison SE, Jong EC, Moore DD. Diagnosis of paragonimiasis by immunoblot. Am J Trop Med Hyg. 1988;39:469–71.PubMed
- Kim JS. A comparison of sensitivity on stool and sputum examination for diagnosis of paragonimiasis. Kiseangchunghak Chapchi. 1970;8:22–4.
- Drugs for parasitic infections. Med Lett. 2010;8(suppl):e1–20.
- Rim HJ, Chang YS, Lee JS, Joo KH, Suh WH, Tsuji M. Clinical evaluation of praziquantel (Embay 8440; Biltricide(R)) in the treatment of Paragonimus westermani. Kiseangchunghak Chapchi. 1981;19:27–37.PubMed
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