Case Report: Reemerging Paragonimiasis in Umphang District, Thailand
Issued Date
2023-04-05
Resource Type
eISSN
14761645
Scopus ID
2-s2.0-85152167105
Pubmed ID
36848893
Journal Title
The American journal of tropical medicine and hygiene
Volume
108
Issue
4
Start Page
738
End Page
743
Rights Holder(s)
SCOPUS
Bibliographic Citation
The American journal of tropical medicine and hygiene Vol.108 No.4 (2023) , 738-743
Suggested Citation
Hanprom J., Lapphra K., Tontiwattanasap W., Papwijitsil R., Copeland K., Chokephaibulkit K. Case Report: Reemerging Paragonimiasis in Umphang District, Thailand. The American journal of tropical medicine and hygiene Vol.108 No.4 (2023) , 738-743. 743. doi:10.4269/ajtmh.22-0708 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/82071
Title
Case Report: Reemerging Paragonimiasis in Umphang District, Thailand
Author's Affiliation
Other Contributor(s)
Abstract
Paragonimiasis is a food-born zoonotic parasitosis caused by Paragonimus spp. Six cases of reemerging paragonimiasis within the Karan hill-tribe near the Thai-Myanmar border were evaluated to review clinical manifestations, predisposing factors, and treatment regimens. All patients tested positive for paragonimiasis eggs and presented with an array of symptoms, including chronic cough, hemoptysis, peripheral eosinophilia, and thoracic radiograph abnormalities. All fully recovered after a 2- to 5-day course of 75 to 80 mg/kg/day praziquantel. We conclude that paragonimiasis should be considered during differential diagnoses to promote early treatment and to prevent misdiagnosis of reemerging or sporadic cases. This applies particularly to endemic regions and high-risk groups known to habitually consume raw or undercooked intermediate or paratenic hosts.