Please follow the link to the case study to answer the questions https://wwwnc.c
ID: 3164422 • Letter: P
Question
Please follow the link to the case study to answer the questions
https://wwwnc.cdc.gov/eid/article/18/8/12-0335_article
From the case report on Paragonimus:
a) How was the infection acquired?
b) When did patients begin showing symptoms? Were there any differences in the length of time from parasite acquisition to symptoms?
c) What were the common signs and symptoms?
d) What two lab findings were shared by all the patients?
e) Paragonimiasis is challenging to diagnose because that pathogenesis is similar to that caused by other pathogens. What pathogen causes pathogenesis that can be confused with paragonimiasis?
f) What species of Paragonimus was discussed in the case study?
g) Briefly, describe the pathogensis, prevention and treatment of paragonimiasis and explain how the
Explanation / Answer
a) The infection occurs by ingesting undercooked infected freshwater crustacean ( lobster, crabfish, crabs etc) and the infected land animals like bear.
b) The patient's begin symptoms after 2 to 4 weeks of ingestion of infected crustacean and land animals.
Yes, there is difference in length of time between parasite aquisition to symptoms.
c) Common signs and symptoms of pneumonia, influenza, acute cholecystisis, bronchitis, gastroenteritis and pneumonia.
d) Eosinophilia and pleural effusion are the lab findings shared by all the patients.
e) Paragonimiasis is similar to the symptoms of tuberculosis. Tuberculosis is caused by the pathogen which is a type of bacteria called mycobacterium.
f) The species kellicotti of Paragonimus was discussed in the case study.
g) P. kellicotti and P. westermani is the pathogenesis of paragonimiasis which are the food borne trematode infection.
Prevention measures should be taken by eating properly cooked and boiled crutacean and to maintain the hygiene such as to wash the utensils properly.
Treatment is to be done by giving Praziquantel (75mg/kg in 3 divided doses for 2 days).