Journal of Tropical Diseases and Parasitology ›› 2024, Vol. 22 ›› Issue (1): 57-60.doi: 10.3969/j.issn.1672-2302.2024.01.012

• CASE REPORTS • Previous Articles     Next Articles

A case of pulmonary and cerebral paragonimiasis

XIANG Kehua(), LEI Mingsheng, ZHAO Bei, ZHU Mingxin, LI Jin, SU Zhongrui()   

  1. Zhangjiajie People's Hospital, Zhangjiajie 427000, Hunan Province, China
  • Received:2023-09-14 Online:2024-02-20 Published:2024-03-15
  • Contact: SU Zhongrui, E-mail: suzhongrui0820@qq.com

Abstract:

This article reports one case of pulmonary and cerebral paragonimiasis caused by ingestion of the first intermediate host, the snail. The clinical symptoms, including cough, chest pain, difficulty breathing, and paroxysmal seizures, were present in this patient. Laboratory examination showed an increase in eosinophils. Chest CT exhibited patchy high-density shadows with bilateral pleural effusion and right pneumothorax. Head CT and MRI displayed low-density shadows and "tunnel signs". Paragonimus IgG antibodies were positive, and the condition improved significantly after treatment with praziquantel. This case report aims to improve the awareness and understanding of paragonimiasis among clinical doctors, and provide reference for the prevention and treatment of paragonimiasis.

Key words: Paragonimiasis, Pulmonary, Cerebral, Intermediate host

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