Paragonimiasis in a person whose symptoms were shown 22 years after emigrating to Japan from Laos

Ikehara, Mizuki; Komase, Yuko; Morita, Akane; Yamaguchi, Hiromichi; Yamamoto, Takahito
February 2010
Journal of Infection & Chemotherapy (Springer Science & Business;Feb2010, Vol. 16 Issue 1, p49
Academic Journal
We report a patient, a 52-year-old man from Laos, who had come to Japan at 30 years of age, but had maintained a habit of eating raw freshwater crabs. The patient visited a physician for left chest pain in January 2007. Infiltration and mass-like shadows were noted in the left superior and inferior lobes on chest X-ray. Diagnosis could not be made by bronchial brushing, but eggs were present in sputum cytology 3 days after bronchoscopy. Therefore, paragonimiasis was diagnosed. The peripheral eosinophil count had increased to 2550/µl and the serum IgE level was elevated, at 71000 IU/ml. Multiple-dot enzyme-linked immunosorbent assay (ELISA) for specific IgG antibodies in serum was positive for Paragonimus westermani and P. miyazakii. Paragonimiasis may have been caused by the style of Laotian cooking without heating. Because the habit of eating raw freshwater crabs is common in Laos, Laos is one of the countries where paragonimiasis is prevalent. For patients from Laos with lung diseases, differentiation including paragonimiasis is required.


Related Articles

  • A Pulmonary Paragonimiasis Case Mimicking Metastatic Pulmonary Tumor.  // Korean Journal of Parasitology;Mar2011, Vol. 49 Issue 1, p69 

    No abstract available.

  • Paragonimus and Paragonimiasis in Vietnam: an Update. Pham Ngoc Doanh; Yoichiro Horii; Yukifumi Nawa // Korean Journal of Parasitology;Dec2013, Vol. 51 Issue 6, p621 

    Paragonimiasis is a food-borne parasitic zoonosis caused by infection with lung flukes of the genus Paragonimus. In Vietnam, research on Paragonimus and paragonimiasis has been conducted in northern and central regions of the country. Using a combination of morphological and molecular methods, 7...

  • Pneumothorax Induced by Pulmonary Paragonimiasis: Two Cases Report. Hyun Jo Kim // Korean Journal of Thoracic & Cardiovascular Surgery;Jun2014, Vol. 47 Issue 3, p310 

    When the juvenile worms of the genus Paragonimus migrate and cause defects on the surface of the visceral pleura, pneumothorax can develop. A 34-year-old woman was admitted for pneumothorax with which was developed after she ate raw fish and crab. A 21-year-old male soldier presented with...

  • Evaluation of IgG4 Subclass Antibody Detection by Peptide-Based ELISA for the Diagnosis of Human Paragonimiasis Heterotrema. Pewpan M. Intapan; Oranuch Sanpool; Penchom Janwan; Porntip Laummaunwai; Nimit Morakote; Yoon Kong; Wanchai Maleewong // Korean Journal of Parasitology;Dec2013, Vol. 51 Issue 6, p763 

    A synthetic peptide was prepared based on the antigenic region of Paragonimus westermani pre-procathepsin L, and its applicability for immunodiagnosis for human paragonimiasis (due to Paragonimus heterotremus) was tested using an ELISA to detect lgG4 antibodies in the sera of patients. Sera from...

  • Detection of IgG in sera of patients with schistosomiasis japonica by developing magnetic affinity enzyme-linked immunoassay based on recombinant 14-3-3 protein. Yu, Qin; Yang, Hai; Guan, Fei; Feng, Youmei; Yang, Xiangliang; Zhu, Yanhong // Transactions of the Royal Society of Tropical Medicine & Hygiene;Jan2014, Vol. 108 Issue 1, p37 

    Background Low intensity of Schistosoma infection is the current status in China after long time treatment with praziquantel, therefore more sensitive diagnostic methods are required now. In this study, a magnetic affinity enzyme-linked immunoassay (MEIA) based on the signal transduction protein...

  • Paragonimiasis in Cameroon: molecular identification, serodiagnosis and clinical manifestations Nkouawa, Agathe; Okamoto, Munehiro; Mabou, Alida Kouojip; Edinga, Eulodie; Yamasaki, Hiroshi; Sako, Yasuhito; Nakao, Minoru; Nakaya, Kazuhiro; Blair, David; Agatsuma, Takeshi; Enyong, Peter; Shibahara, Toshiyuki; Moyou-Somo, Roger; Ito, Akira // Transactions of the Royal Society of Tropical Medicine & Hygiene;Mar2009, Vol. 103 Issue 3, p255 

    Summary: Paragonimiasis is a common parasitic zoonosis in Cameroon and neighbouring countries in Western Africa. Serum, sputum and faecal samples were collected in an endemic area of South West Province, Cameroon, after administration of a questionnaire to identify individuals with appropriate...

  • Immunoproteomic Analysis of the Excretory-Secretory Proteins from Spirometra mansoni Sparganum. Dan Dan HU; Jing CUI; Li WANG; Li Na LIU; Tong WEI; Zhong Quan WANG // Iranian Journal of Parasitology;2013, Vol. 8 Issue 3, p408 

    Background: Sparganosis is caused by the invasion of Spirometra sparganum into various tissues/organs. Subcutaneous sparganosis can be diagnosed by biopsy, while visceral/cerebral sparganosis is not easy to be diagnosed. The diagnosis depends largely on the detection of specific anti-sparganum...

  • Childhood Environment Influences Adrenarcheal Timing among First-Generation Bangladeshi Migrant Girls to the UK. Houghton, Lauren C.; Cooper, Gillian D.; Booth, Mark; Chowdhury, Osul A.; Troisi, Rebecca; Ziegler, Regina G.; Katki, Hormuzd A.; Hoover, Robert N.; Bentley, Gillian R. // PLoS ONE;Oct2014, Vol. 9 Issue 10, p1 

    Background: Adrenarche is a key early life event that marks middle childhood at approximately 7 years of age. Earlier work with British-Bangladeshi migrant women suggested that environmental conditions experienced before adrenarche influence adult reproductive function. We therefore...

  • High Prevalence of HTLV-1 Infection among Japanese Immigrants in Non-endemic Area of Brazil. Bandeira, Larissa M.; Uehara, Silvia N. O.; Asato, Marcel A.; Aguena, Gabriela S.; Maedo, Cristiane M.; Benites, Nikolas H.; Puga, Marco A. M.; Rezende, Grazielli R.; Finotti, Carolina M.; Cesar, Gabriela A.; Tanaka, Tayana S. O.; Castro, Vivianne O. L.; Otsuki, Koko; Vicente, Ana C. P.; Fernandes, Carlos E.; Motta-Castro, Ana R. C. // PLoS Neglected Tropical Diseases;Apr2015, Vol. 9 Issue 4, p1 

    Background: Human T-lymphotropic virus type 1 (HTLV-1) has worldwide distribution and is considered endemic in many world regions, including southwestern Japan and Brazil. Japanese immigrants and their descendants have a high risk of acquiring this infection due to intense population exchange...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics