Paragonimiasis in Japan: a twelve-year retrospective case review (2001-2012)

Internal Medicine
Eiji NagayasuHaruhiko Maruyama

Abstract

Paragonimiasis, or lung fluke infection, is a food-borne parasitic disease caused by infection with trematodes belonging to the genus Paragonimus. Although paragonimiasis was once considered successfully controlled in the 1970s, new cases began to emerge in the late 1980s. To apprehend the current-day situation of the re-emergent cases of paragonimiasis in Japan, we conducted a retrospective review of 443 patients who were referred to our laboratory and diagnosed as having paragonimiasis during 2001-2012. Patients were diagnosed as having paragonimiasis based primarily on immunodiagnostic methods in addition to clinical, laboratory, and radiographic findings. Patient data were extracted from consultation sheets from attending physicians and were analyzed. Majority of the patients were residents of Kyushu Island. However, a substantial number of cases were also from other parts of Japan. Immigrants (mostly from China, Thailand, and Korea) accounted for a quarter of the cases. Native Japanese contracted paragonimiasis by consuming wild boar meat or freshwater crabs, whereas immigrants contracted the infection almost exclusively by consumption of freshwater crabs. Eosinophilia and elevated serum IgE levels were found in around 80%...Continue Reading

References

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Citations

Jan 8, 2016·Transactions of the Royal Society of Tropical Medicine and Hygiene·Weerachai SaijunthaTrevor N Petney
Aug 9, 2016·Journal of Infection and Chemotherapy : Official Journal of the Japan Society of Chemotherapy·Naoya ItohHanako Kurai
Sep 21, 2016·Parasitology International·Ayako YoshidaHaruhiko Maruyama
Jul 20, 2016·Tropical Medicine and Health·Xu Guang QiuMakoto Itoh
Feb 8, 2018·Respiration; International Review of Thoracic Diseases·Ioana D OlaruChristoph Lange
Nov 17, 2017·BMC Pediatrics·Zongrong GongChaomin Wan
Sep 9, 2017·Paediatrics and International Child Health·Ryouhei MatsuokaHaruhiko Maruyama
Jan 1, 2019·QJM : Monthly Journal of the Association of Physicians·K MasakiI Nakachi
Sep 9, 2020·The American Journal of Tropical Medicine and Hygiene·Kotaro KunitomoTakahiro Tsuji
Feb 13, 2021·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Shinya NakashimaEiji Nagayasu
May 8, 2021·Respirology Case Reports·Luxia KongShuyun Xu

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