Infectious Disease Compendium

Paragonimus westermani

Microbiology

A lung fluke. In the US it is Paragonimus kellicotti.

Epidemiologic Risks

Found in West Africa, Far East and the Indian subcontinent, and Central and South America. In the US it is associated with eating raw crawfish.

In the US it has been mostly reported in Missouri.

Syndromes

Fever, night sweats, malaise, cough, dyspnea, chest pain, weight loss, eosinophilia.

Eosinophilic meningitis.

Treatment

Praziquantel 25 mg/kg q 8 for one day.

Treat meningitis a lot longer

Notes

Look for the eggs in the stool and sputum.