paragonimiasis Flashcards
what is paragonimiasis
raw/insufficiently cooks (crabs, freshwater, snail
other names for paragonimiasis
lung fluke
japanese lung fluke
paragonimiasis infects the??
lungs of humans (kaya ptb like symptoms)
causative agents of paragonimiasis
paragonimus western mani
paragonimus siamensis
Philippinesis (new) kasi endemic na sa PH
MOT of paragonimiasis
ingestion of raw or insufficiently cooked crabs, freshwater, snail and crayfish
intermidiate hosts
SNAIL
antemelania asperata
antemelania dactylus
intermidiate hosts
CRABS
varuma litterata
sundathelphusa philippina
incubation period of paragonimiasis
65-90 days
s/sx of paragonimiasis
ACUTE PHASE
diarrhea
abdominal pain
fever
weight loss
urticaria (generalized rash)
splenomegaly/hepatomegaly
s/sx of paragonimiasis
CHRONIC PHASE
cough/hemoptysis
chest/back pain
PTB - anorexia, low grade fever in the afternoon, night sweats,
DOC of paragonimiasis
Praziquantel/hetrazan 25mg/kg PO TID for 2 days
Bithionol/ biotin 30-50 mg/kg PO on alternate days for 10-15 days
Complications of paragonimiasis
pneumonia
bronchiectasis
pleural effusion
empyema (accumulation of fats)
prevention and control for paragonimiasis
never eat raw freshwater, crabs, or crayfish, snail
cook crabs and crayfish for at least 63C/145F
