1.Asymptomatic Human Paragonimiasis among the Karen People in Tak Province, Thailand: A Case Report
Teera KUSOLSUK ; Orawan PHUPHISUT ; Wanna MAIPANICH ; Somchit PUBAMPEN ; Surapol SA-NGUANKIAT ; Akkarin POODEEPIYASAWAT ; Nirundorn HOMSUWAN ; Srisuchart MONGKOLMOO ; Tippayarat YOONUAN ; Poom ADISAKWATTANA ; Udomsak SILACHAMROON ; Yukifumi NAWA
The Korean Journal of Parasitology 2020;58(1):57-60
During the mobile clinic activities in Tak Province, Thailand, Paragonimus sp. eggs were found in a fecal sample of a 72-year-old Karen resident. Paragonimus DNA was amplified from the stool sample and identified to P. heterotremus. The patient did not have any symptoms. Apparent pulmonary lesion was not found on the chest X-ray. The patient admitted habitual consumption of semi-cooked or roasted waterfall crabs for several years. The waterfall crabs collected from stream near the village were found negative for Paragonimus metacercariae. In northern Thailand, paragonimiasis remains as one of the public health concerns and should be ruled out for asymptomatic pulmonary patients.
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