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Cough and Hemoptysis in a Burmese Immigrant

Griffin, Allen T. MD*; Farghaly, Hanan MD; Arnold, Forest W. DO, MSc*

Infectious Diseases in Clinical Practice: May 2013 - Volume 21 - Issue 3 - p 204–207
doi: 10.1097/IPC.0b013e31826e7f60
Case Reports

Paragonimiasis is a food-borne parasitic infection resulting from ingestion of undercooked crustaceans. Whereas uncommon in the United States, Paragonimus species are endemic in North America, South America, Asia, and Africa. Pulmonary symptoms are most common, but cerebral, dermatologic, and abdominal variations are recognized. Diagnosis is supported by positive serologic findings and a typical exposure history. Pathologic confirmation by visualization of eggs, however, is preferred. In the subsequent case presentation, we elucidate an instance of pulmonary paragonimiasis mimicking tuberculosis in a middle-aged Burmese female.

From the *Division of Infectious Diseases, Department of Medicine and †Department of Pathology, University of Louisville School of Medicine, Louisville, KY.

Correspondence to: Allen T. Griffin, MD, University of Louisville, Department of Medicine, Division of Infectious Diseases, 501 E Broadway St, Suite 380, Louisville, KY 40292. E-mail:

The authors have no funding or conflicts of interest to disclose.

© 2013 Lippincott Williams & Wilkins, Inc.