Volume 18, Number 8—August 2012
CME ACTIVITY - Research
Paragonimus kellicotti Flukes in Missouri, USA
Table 1
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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