A case of group infections with Paraginimus species in Henan, Central China
| Autor: | Hongwei Zhang, Lin Ai, Yu-ling Zhao, Jia-Xu Chen, Xiao-bo Du, Wei-qi Chen, Ying Liu, Peng Li, Ruimin Zhou, Chengyun Yang, Xi-meng Lin, Yan Deng, Bian-li Xu, Ya-lan Zhang |
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| Rok vydání: | 2019 |
| Předmět: |
0301 basic medicine
Adult Male medicine.medical_specialty China Tuberculosis Adolescent Paragonimiasis Veterinary (miscellaneous) 030231 tropical medicine 03 medical and health sciences 0302 clinical medicine Paragonimus Internal medicine Epidemiology medicine Eosinophilia Animals Humans Child biology business.industry 030108 mycology & parasitology Middle Aged medicine.disease biology.organism_classification Infectious Diseases Insect Science Parasitic disease Neglected tropical diseases Sputum Parasitology Female medicine.symptom business |
| Zdroj: | Acta tropica. 202 |
| ISSN: | 1873-6254 |
| Popis: | In July of 2012, mass infections with Paragonimus species were detected in the Henan province sickening 11 of 51 people. In May 2011, these individuals had participated in an excursion during which freshwater crabs were caught and served after being toasted. Before the group infections with Paraginimus species was confirmed, 5 of the 11 patients had been misdiagnosed as tuberculosis (TB) and treated with an anti-TB drug regimen for six months. The most common and typical manifestations were eosinophilia (11/11, 100%) and pulmonary manifestations including, among others, stethalgia and cough (7/11 63.6%). Sero-examination revealed that all 11 patients were seropositive for Paragonimus species. Surprisingly, in our case, one patient presented with hemoptysis and eggs in respiratory secretions, and this is the first time P. skrjabini eggs are detected in the sputum of a patient from the Henan province. Paragonimus metacercariae were collected from 6 of 11 (54.5%) crabs caught at the infection site and were identified as Paraginiumus skrjabini by morphological and molecular examinations. Epidemiological and laboratory evidence confirmed that this is a case of group infection with P. skrjabini. As one of the most neglected tropical diseases (NTD), paragonimiasis should be differentiated diagnosed from TB to avoid the delay of treatment. To our knowledge, this is the second report of a case of group infections with Paraginimus species in Henan, Central China. The first case was reported in 1995. As a kind of food-borne parasitic disease, paragonimiasis should be included in the public health education agenda. |
| Databáze: | OpenAIRE |
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