Karki Pearlbiga, Jha Pinky, Mainali Gaurab, Khadka Manoj, Karki Prabesh, Thapa Jung Bahadur, Karki Gayatri
Nepalese Army Institute of Health Sciences, 44600, Kathmandu, Nepal.
Department of Pathology, Himal Hospital Pvt Ltd, 44600, Kathmandu, Nepal.
Ann Med Surg (Lond). 2021 Feb 17;63:102170. doi: 10.1016/j.amsu.2021.02.016. eCollection 2021 Mar.
Paragonimiasis or lung fluke disease is a typical food-borne parasitic zoonosis caused by infection with . The is a trematode that mainly infects the lungs of humans after eating an infected raw or undercooked crab or crayfish.
Herein we report a case of peritoneal Paragonimiasis in the gallbladder of a 58-year-old female from Rukum district of Nepal. It was an incidental diagnosis following routine histopathological examination of the cholecystectomy specimen. She presented with the symptoms of abdominal pain, fever, cough, and had a history of consumption of partially cooked river crabs. She responded well to praziquantel and improved thereafter.
Ectopic paragonimiasis is a rare disease and it presents with few clinical symptoms so it is significantly difficult to make a diagnosis and treat the patients. Even if a sputum test and biopsy are performed, the ova or body of parasites may not be detectable due to insufficient amount of specimens. Therefore, thorough history taking should be given importance. The dietary history of partially cooked crab or crayfish should indicate towards a high suspicion of Paragonimiasis. Any such indication should be immediately confirmed, which in our case was done by routine histopathological examination of the cholecystectomy specimen.
We report the case of a patient with peritoneal paragonimiasis in the gallbladder. Ectopic paragonimiasis is hard to diagnose due to an ignorance of, misdiagnosis, and the rarity of this disease. Thus, thorough history-taking and clinical suspicion of parasitic infection is essential.
肺吸虫病或肺蛭病是一种典型的食源性寄生虫人畜共患病，由感染[具体病原体未给出]引起。[具体病原体]是一种吸虫，主要在人类食用受感染的生蟹或未煮熟的蟹或小龙虾后感染肺部。
在此，我们报告一例来自尼泊尔鲁库姆地区的58岁女性胆囊内腹膜肺吸虫病病例。这是在对胆囊切除术标本进行常规组织病理学检查后偶然诊断出来的。她表现出腹痛、发热、咳嗽等症状，并有食用部分煮熟的河蟹的病史。她对吡喹酮反应良好，此后病情有所改善。
异位肺吸虫病是一种罕见疾病，临床症状很少，因此诊断和治疗患者非常困难。即使进行痰液检测和活检，由于标本量不足，可能无法检测到寄生虫卵或虫体。因此，应重视详细的病史询问。食用部分煮熟的蟹或小龙虾的饮食史应高度怀疑肺吸虫病。任何此类迹象都应立即得到证实，在我们的病例中，是通过对胆囊切除术标本进行常规组织病理学检查来完成的。
我们报告了一例胆囊内腹膜肺吸虫病患者的病例。由于对这种疾病的忽视、误诊以及其罕见性，异位肺吸虫病很难诊断。因此，详细询问病史并对寄生虫感染保持临床怀疑至关重要。
