Lung Trematodes (Flukes) - PARAGONIMUS WESTERMANI Flashcards
1
Q
Japanese Lung Fluke
Hermaphrodite
A
Paragonimus westermani
2
Q
Intermediate hosts of Paragonimus westermani
A
SNAIL: Antemelania asperata
MOUNTAIN CRAB: Sundathelphusa philippina
3
Q
Ingestion of RAW CRABMEAT/CRAYFISH
LARVAE (METACERCARIAE)
A
adult flukes live in the LUNGS
PARAGONIMIASIS
4
Q
Within the lung, the worms exist in a FIBROUS CAPSULE that communicates w/ a bronchiole – provokes a GRANULOMATOUS REACTION
secondary bacterial infection frequently occurs
A
PARAGONIMIASIS
*chronic cough w/ bloody sputum
CXR: ring shadow opacity
RESEMBLES TB!!
5
Q
Diagnostic test for Paragonimiaisis
A
3% NaOh preparation
operculated/unembryonated egg in sputum or feces
6
Q
Treatment for Paragonimiaisis
A
Praziquantel