Villanueva-Villegas Renzo, Diaz-Mendoza Javier, Salas-Lopez Juan, Espiche Carlos
Pulmonary Medicine, Hospital Nacional Dos de Mayo, Lima, PER.
Institute of Research in Biomedical Sciences, Faculty of Medicine, Ricardo Palma University, Lima, PER.
Cureus. 2023 Mar 15;15(3):e36169. doi: 10.7759/cureus.36169. eCollection 2023 Mar.
Paragonimiasis is a zoonosis caused by the ingestion of raw or undercooked crustaceans parasitized with metacercaria of . In Peru, Cajamarca is considered an endemic region for paragonimiasis. A 29-year-old man from the department of San Martín, Peru presented with a three-year history of cough, chest pain, fever, and hemoptysis. Treatment for tuberculosis (TB) was initiated even with negative results for sputum acid-fast bacillus (AFB), due to the patient's clinical characteristics and the high prevalence of the condition in the region. After eight months, due to the lack of any clinical improvement, he was referred to a regional hospital, where eggs were evidenced in direct sputum cytology. The patient received treatment with triclabendazole and showed clinical and radiological improvement. It is important to consider eating habits, even in non-endemic areas, for diagnosing paragonimiasis in patients with TB symptoms who do not respond to a specific treatment.
肺吸虫病是一种人畜共患病，由摄入寄生有肺吸虫囊蚴的生的或未煮熟的甲壳类动物引起。在秘鲁，卡哈马卡被认为是肺吸虫病的流行地区。一名来自秘鲁圣马丁省的29岁男子，有三年咳嗽、胸痛、发热和咯血病史。由于患者的临床特征以及该疾病在该地区的高患病率，即使痰涂片抗酸杆菌（AFB）检测结果为阴性，仍开始进行结核病（TB）治疗。八个月后，由于没有任何临床改善，他被转诊至一家地区医院，在那里直接痰细胞学检查发现了虫卵。该患者接受了三氯苯达唑治疗，临床和影像学均有改善。对于有结核病症状但对特定治疗无反应的患者，即使在非流行地区，为诊断肺吸虫病考虑饮食习惯也很重要。
