VOLUME 61 , ISSUE 2 ( April-June, 2019 ) > List of Articles
Vikas Marwah, Amit Singh Vasan, Yadvir Garg, C.D.S. Katoch, S.P.S. Shergill
Keywords : Pulmonary eosinophilia, Paragonimus westermanii, Endemic haemoptysis
Citation Information : Marwah V, Vasan AS, Garg Y, Katoch C, Shergill S. Pulmonary Paragonimiasis: A Great Masquerader. Indian J Chest Dis Allied Sci 2019; 61 (2):95-97.
DOI: 10.5005/ijcdas-61-2-95
License: CC BY-NC 4.0
Published Online: 18-11-2022
Copyright Statement: Copyright © 2019; The Author(s).
Pulmonary paragonimiasis is one of the rare causes of haemoptysis in humans. The clinical findings of paragonimiasis may mimic pleuro-pulmonary tuberculosis (TB), bronchitis, bronchiectasis, pneumonia, epilepsy or cerebral space-occupying lesion. It mimics pulmonary TB due to overlapping symptoms and it requires differentiation from the same in TB endemic areas. We carried out retrospective analysis of four cases of pleuro-pulmonary paragonimiasis who presented to our centre during the period from 2013 to 2017. All four cases had presented with streaky haemoptysis, chest pain and on evaluation were found to have pulmonary eosinophilia. One patient also had abdominal manifestations. Paragonimus eggs were demonstrated in respiratory secretions of three cases while one had eosinophilic pleuritis. Failure to suspect pulmonary paragonimiasis at initial evaluation results in wrong diagnosis as it masquerades many other diseases with common symptomatology.
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