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Acta Cytologica A Case Report Gary W. Procop, M.D., Aileen M. Marty, M.D., David N. Scheck, M.D., Darrell R. Mease, M.D., and Gilbert M. Maw, M.D. BACKGROUND: Paragonimiasis is a parasitic infec- through the morphologic examination of eggs in the cy- tion with a predilection for pulmonary involvement. tologic preparation of bronchioalveolar lavage fluid. The Paragonimus species occur patient was successfully throughout the world and treated with praziquantel exist in nature in a snail- and recovered without inci- The presence of operculate eggs crustacean-mammalian life dent. in sputum suggests a Paragonimus cycle. Human disease is most CONCLUSION: Parago- frequently encountered in nimiasis is a cause of para- infection. cultures that ingest raw or sitic hemoptysis worldwide. undercooked crustaceans. Paragonimiasis is infre- North American parago- quently encountered in nimiasis, caused by an endemic Paragonimus species, North America and is usually not considered in the dif- Paragonimus kellicotti, predominantly causes disease ferential diagnosis of hemoptysis unless specific risk fac- in carnivorous and omnivorous animals but may cause tors are known. The cytologist or cytopathologist, there- human disease if the intermediate host, the crayfish, is in- fore, may be the first to encounter the diagnostic eggs and gested raw or undercooked. should
Acta Cytologica – Karger
Published: Jan 1, 2011
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