Paragonimus: Difference between revisions
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Paragonimus
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Created page with "{{DISPLAYTITLE:''Paragonimus''}} * Species of trematode * Also known as lung flukes * Multiple species can infect humans, with different geographic distributions {| class="wikitable" !Species !Geographic Distribution !Notes |- |Paragonimus westermani |China, Korea, Japan, the Philippines, Taiwan, and India |By far the most common cause of disease in humans |- |Paragonimus heterotremus |Thailand, as well as India, southern China, and Vietnam | |- |Paragonimus..." |
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{{DISPLAYTITLE:''Paragonimus''}} |
{{DISPLAYTITLE:''Paragonimus''}} |
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== Background == |
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* Species of trematode |
* Species of trematode |
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* Also known as lung flukes |
* Also known as '''lung flukes''' |
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* Multiple species can infect humans, with different geographic distributions |
* Multiple species can infect humans, with different geographic distributions |
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|[[Paragonimus skrjabini]] |
|[[Paragonimus skrjabini]] |
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|Japan and China |
|Japan and China |
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|Extrapulmonary disease more likely than with other species |
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|[[Paragonimus africanus]] and [[Paragonimus uterobilateralis]] |
|[[Paragonimus africanus]] and [[Paragonimus uterobilateralis]] |
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== Diagnosis == |
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* Microscopy for eggs in sputum |
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* Eggs occasionally found in stool |
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== Treatment == |
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* [[Praziquantel]] 25 mg/kg p.o. three times daily for 6 doses |
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** For cerebral disease, may need a short course of corticosteroids as well |
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* Second-line is [[triclabendazole]] 10 mg/kg q12h for 2 doses |
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[[Category:Trematodes]] |
[[Category:Trematodes]] |
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[[Category:Respiratory infections]] |
[[Category:Respiratory infections]] |
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Latest revision as of 21:38, 24 February 2026
Background
- Species of trematode
- Also known as lung flukes
- Multiple species can infect humans, with different geographic distributions
| Species | Geographic Distribution | Notes |
|---|---|---|
| Paragonimus westermani | China, Korea, Japan, the Philippines, Taiwan, and India | By far the most common cause of disease in humans |
| Paragonimus heterotremus | Thailand, as well as India, southern China, and Vietnam | |
| Paragonimus skrjabini | Japan and China | Extrapulmonary disease more likely than with other species |
| Paragonimus africanus and Paragonimus uterobilateralis | Africa, particularly the rainforests of West and Central Africa | |
| Paragonimus mexicanus | Central and South America | |
| Paragonimus kellicotti | United States and Canada |
Diagnosis
- Microscopy for eggs in sputum
- Eggs occasionally found in stool
Treatment
- Praziquantel 25 mg/kg p.o. three times daily for 6 doses
- For cerebral disease, may need a short course of corticosteroids as well
- Second-line is triclabendazole 10 mg/kg q12h for 2 doses
