Cargando…

Demographic characteristic and analysis of pulmonary paragonimiasis in patients attending RIMS, Manipur

BACKGROUND: Human infection by the lung fluke Paragonimus westermani is widely distributed in Africa, Asia, and South America. Transmission of the parasite to humans primarily occurs through the consumption of raw or undercooked crabs. Clinical features of recently diagnosed pulmonary Paragonimiasis...

Descripción completa

Detalles Bibliográficos
Autores principales: Sunanda, Haorongbam, Shivalingaiah, Bhavya, Paley, Tamar, Asoka, Wangkheimayum
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4797430/
https://www.ncbi.nlm.nih.gov/pubmed/27051099
http://dx.doi.org/10.4103/0970-2113.177436
_version_ 1782421955980296192
author Sunanda, Haorongbam
Shivalingaiah, Bhavya
Paley, Tamar
Asoka, Wangkheimayum
author_facet Sunanda, Haorongbam
Shivalingaiah, Bhavya
Paley, Tamar
Asoka, Wangkheimayum
author_sort Sunanda, Haorongbam
collection PubMed
description BACKGROUND: Human infection by the lung fluke Paragonimus westermani is widely distributed in Africa, Asia, and South America. Transmission of the parasite to humans primarily occurs through the consumption of raw or undercooked crabs. Clinical features of recently diagnosed pulmonary Paragonimiasis show that patients present with a variety of clinical and radiological findings, frequently mimics tuberculosis and lung cancer. METHODS: Here in this study, we report a cross-sectional study of pulmonary paragonimiasis in our institute over a period of two year. RESULTS: it was observed that out of eleven cases, prevalence of paragonimiasis was almost equal among both the genders, with a mean age of 38.1 ± 16.96, affecting people from hills. Three patients were erroneously treated with antitubercular drugs without any relief. The association with eosinophilia in the peripheral blood and tissue[16] was seen in all the study subjects and majority patients had pleural fluid eosinophilia. Patients were diagnosed by serological test, Paragonimus ova in Sputum smear and Pleural fluid. All study subjects had excellent clinical responses to praziquantel given at dose of 25 mg/kg given orally 3 times daily for 3 consecutive days. CONCLUSIONS: There is a need to generate awareness among the clinicians and public regarding Paragonimiasis and to consider it in differential diagnosis of TB and carcinoma lung. Physicians should consider the possibility of paragonimiasis among patients who present with chest complaints with eosinophilia from the endemic regions.
format Online
Article
Text
id pubmed-4797430
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher Medknow Publications & Media Pvt Ltd
record_format MEDLINE/PubMed
spelling pubmed-47974302016-04-05 Demographic characteristic and analysis of pulmonary paragonimiasis in patients attending RIMS, Manipur Sunanda, Haorongbam Shivalingaiah, Bhavya Paley, Tamar Asoka, Wangkheimayum Lung India Original Article BACKGROUND: Human infection by the lung fluke Paragonimus westermani is widely distributed in Africa, Asia, and South America. Transmission of the parasite to humans primarily occurs through the consumption of raw or undercooked crabs. Clinical features of recently diagnosed pulmonary Paragonimiasis show that patients present with a variety of clinical and radiological findings, frequently mimics tuberculosis and lung cancer. METHODS: Here in this study, we report a cross-sectional study of pulmonary paragonimiasis in our institute over a period of two year. RESULTS: it was observed that out of eleven cases, prevalence of paragonimiasis was almost equal among both the genders, with a mean age of 38.1 ± 16.96, affecting people from hills. Three patients were erroneously treated with antitubercular drugs without any relief. The association with eosinophilia in the peripheral blood and tissue[16] was seen in all the study subjects and majority patients had pleural fluid eosinophilia. Patients were diagnosed by serological test, Paragonimus ova in Sputum smear and Pleural fluid. All study subjects had excellent clinical responses to praziquantel given at dose of 25 mg/kg given orally 3 times daily for 3 consecutive days. CONCLUSIONS: There is a need to generate awareness among the clinicians and public regarding Paragonimiasis and to consider it in differential diagnosis of TB and carcinoma lung. Physicians should consider the possibility of paragonimiasis among patients who present with chest complaints with eosinophilia from the endemic regions. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC4797430/ /pubmed/27051099 http://dx.doi.org/10.4103/0970-2113.177436 Text en Copyright: © Lung India http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Sunanda, Haorongbam
Shivalingaiah, Bhavya
Paley, Tamar
Asoka, Wangkheimayum
Demographic characteristic and analysis of pulmonary paragonimiasis in patients attending RIMS, Manipur
title Demographic characteristic and analysis of pulmonary paragonimiasis in patients attending RIMS, Manipur
title_full Demographic characteristic and analysis of pulmonary paragonimiasis in patients attending RIMS, Manipur
title_fullStr Demographic characteristic and analysis of pulmonary paragonimiasis in patients attending RIMS, Manipur
title_full_unstemmed Demographic characteristic and analysis of pulmonary paragonimiasis in patients attending RIMS, Manipur
title_short Demographic characteristic and analysis of pulmonary paragonimiasis in patients attending RIMS, Manipur
title_sort demographic characteristic and analysis of pulmonary paragonimiasis in patients attending rims, manipur
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4797430/
https://www.ncbi.nlm.nih.gov/pubmed/27051099
http://dx.doi.org/10.4103/0970-2113.177436
work_keys_str_mv AT sunandahaorongbam demographiccharacteristicandanalysisofpulmonaryparagonimiasisinpatientsattendingrimsmanipur
AT shivalingaiahbhavya demographiccharacteristicandanalysisofpulmonaryparagonimiasisinpatientsattendingrimsmanipur
AT paleytamar demographiccharacteristicandanalysisofpulmonaryparagonimiasisinpatientsattendingrimsmanipur
AT asokawangkheimayum demographiccharacteristicandanalysisofpulmonaryparagonimiasisinpatientsattendingrimsmanipur