Department of Infectious Diseases, Washington University School of Medicine, St Louis, Missouri 63110, USA.
Emerg Infect Dis. 2012 Aug;18(8):1263-7. doi: 10.3201/eid1808.120335.
Paragonimiasis is an infection caused by lung flukes of the genus Paragonimus. In Asia, P. westermani infections are relatively common because of dietary practices. However, in North America, cases of paragonimiasis, which are caused by P. kellicotti flukes, are rare. Only 7 autochthonous cases of paragonimiasis were reported during 1968-2008. In 2009, we reported 3 new case-patients with paragonimiasis who had been seen at our medical center over an 18-month period. Six additional case-patients were identified in St. Louis, Missouri, USA, and treated at Washington University-affiliated health centers in 2009-2010. We report detailed descriptions of these case-patients, which includes unusual clinical manifestations. We also describe public health interventions that were undertaken to inform the general public and physicians about the disease and its mode of transmission.
并殖吸虫病是一种由并殖属的肺吸虫引起的感染。在亚洲，由于饮食习惯，卫氏并殖吸虫感染较为常见。然而，在北美，由卷棘口吸虫引起的并殖吸虫病则较为罕见。1968 年至 2008 年期间，仅报告了 7 例本地感染病例。2009 年，我们报告了 3 例新的并殖吸虫病患者，他们在我们的医疗中心接受了为期 18 个月的治疗。在美国密苏里州圣路易斯市，又发现了 6 例患者，并于 2009 年至 2010 年在华盛顿大学附属医院接受了治疗。我们详细描述了这些患者的情况，包括不常见的临床表现。我们还描述了为向公众和医生宣传该疾病及其传播方式而采取的公共卫生干预措施。
