PARAGONIMIASIS

Question 1

1. LUNG FLUKE/JAPANESE LUNG FLUKE
2. a lung fluke that infects the lungs of humans
3. eating an infected raw or undercooked crab or
   crayfish

Answer 1

PARAGONIMIASIS

Question 2

PARAGONIMIASIS causative agent

Answer 2

Paragonimus westermani

Question 3

PARAGONIMIASIS CLASSIFICATION:

Answer 3

Parasite

Question 4

INTERMEDIATE HOSTS (habitat)

Answer 4

1. Antemelania asperata
   - fresh water snail, 1st intermediate hosts
2. Varuna litterata
   - fresh water crab, 2nd intermediate hosts

Question 5

fresh water snail, 1st intermediate hosts

Answer 5

Antemelania asperata

Question 6

fresh water crab, 2nd intermediate hosts

Answer 6

Varuna litterata

Question 7

mode of transmission

Answer 7

ingestion of raw/ insufficiently cooked CRAB

Question 8

caused by eating UNCOOKED crabmeat

Answer 8

PARAGONIMIASIS

Question 9

PARAGONIMIASIS s/sx
“Can’t Hear Clearly, Pleaselungs.”

Answer 9

Can’t (C): Cough
Hear (H): Hemoptysis
Clearly (C): Chest pain and back pain
Please (P): PTB-like s/sx not responding to anti-TB meds

Question 10

PARAGONIMIASIS
DX TEST

Answer 10

Sputum exam

Question 11

What is the drug of choice (DOC) for the medical management of paragonimiasis?

Answer 11

Paragonimiasis is Praziquantel (Biltricide) 25 mg/kg three times a day for 3 days.

Question 12

What is the ALTERNATIVE drug for treating paragonimiasis, and what is the recommended dosage and duration?

Answer 12

Answer: D. Bithionol (Bitin) 30-50 mg/kg for 10-15 doses

Explanation: The alternative drug for paragonimiasis is Bithionol (Bitin) at a dosage of 30-50 mg/kg for 10-15 doses.

Question 13

What preventive measures are recommended to reduce the risk of paragonimiasis?

Answer 13

Cooking crabs and crayfish to at least 145°F/63°C

Question 14

Why is it strongly advised NEVER to EAT RAW freshwater crabs or crayfish in the prevention of paragonimiasis?

Answer 14

Raw crabs and crayfish may harbor the Paragonimus parasite

CA:
§ Paragonimus westermani