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Iatreia
Print version ISSN 0121-0793
Abstract
MORALES MUNERA, Olga Lucía et al. Lung paragonimiais in children: Report of two cases. Iatreia [online]. 2013, vol.26, n.3, pp.336-345. ISSN 0121-0793.
Paragonimiasis is a parasitic, food-borne zoonosis, caused by species of trematodes of the genus Paragonimus, found in tropical and subtropical areas of Asia, Africa and America. Human beings become infected by ingestion of raw or undercooked freshwater shellfish. The infection primarily affects the lungs, with the development of multiple clinical and radiological manifestations, depending on the moment in the life cycle of the parasite. The most important differential diagnosis of this disease is pulmonary tuberculosis. We report two cases of lung paragonimiasis in aboriginal Colombian girls with different pulmonary manifestations. Paragonimiasis should be suspected in patients with chronic cough, rusty sputum, chest pain, with or without brain involvement, who live or have lived in endemic areas and have a high-level eosinophilia with radiographic changes suggestive of Loeffler's syndrome.
Keywords : Eosinofilia; Paragonimiasis; Praziquantel; Triclabendazol.