Castilla Elias A, Jessen Robert, Sheck David N, Procop Gary W
Departments of Clinical and Anatomic Pathology, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA.
Am J Surg Pathol. 2003 Aug;27(8):1157-60. doi: 10.1097/00000478-200308000-00015.
North American paragonimiasis is well described in omnivorous and carnivorous animals on this continent. Humans are rarely infected, largely because of dietary customs, but are at risk for infection if raw or undercooked crayfish are consumed. We describe a patient with a pleuropulmonary infection due to Paragonimus kellicotti that presented as recurrent pneumothoraces and a cavitary lesion. This is the first case of North American paragonimiasis in which the diagnosis was based on the morphology of the eggs present in histologic sections.
北美并殖吸虫病在该大陆的杂食性和肉食性动物中已有充分描述。人类很少感染，主要是由于饮食习惯，但如果食用生的或未煮熟的小龙虾就有感染风险。我们描述了一名因克氏并殖吸虫导致胸膜肺部感染的患者，其表现为复发性气胸和空洞性病变。这是北美并殖吸虫病首例基于组织切片中虫卵形态作出诊断的病例。
