Three Cases of Paragonimiasis in a Family.
10.3347/kjp.2009.47.3.281
- Author:
Byeong Seok SOHN
1
;
Yun Jeong BAE
;
You Sook CHO
;
Hee Bom MOON
;
Tae Bum KIM
Author Information
1. Division of Allergy and Clinical Immunology, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul 138-736, Korea. allergy@medimail.co.kr
- Publication Type:Case Report
- Keywords:
Paragonimus;
paragonimiasis;
case report;
eosinophilia;
crab
- MeSH:
Adult;
Animals;
Family;
Female;
Humans;
Korea;
Lung Diseases, Parasitic/*diagnosis/radiography;
Male;
Middle Aged;
Paragonimiasis/*diagnosis/radiography;
Paragonimus/isolation & purification
- From:The Korean Journal of Parasitology
2009;47(3):281-285
- CountryRepublic of Korea
- Language:English
-
Abstract:
Paragonimiasis typically results from the consumption of raw or improperly cooked crustacea, especially crabs and crayfish. Although previously endemic in Korea, the prevalence of this disease decreased in the early 1970s because of educational campaigns and fewer intermediate hosts as a result of ecological changes. Recently, we were presented with a family where all members were infected with Paragonimus after ingestion of Kejang (= drunken crab). The mother was hospitalized for general myalgia and weakness first, followed by the father, who was hospitalized for dyspnea 2 month later. After the parents were diagnosed with paragonimiasis, we recommended their daughter to visit our hospital for a checkup, because they all had eaten freshwater crabs soaked in soybean sauce. She complained of generalized myalgia, fever, and pleuritic pain, and was also diagnosed with paragonimiasis. Peripheral blood of the 3 patients revealed hypereosinophilia, and computed tomography (CT) scans of their chests showed pleural effusion. The results of antibody tests by ELISA were positive for paragonimiasis. We report here the case series of familial paragonimiasis in a modern urban city, rather than in a typical endemic area.
