A lung fluke. In the US it is Paragonimus kellicotti.
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.
Fever, night sweats, malaise, cough, dyspnea, chest pain, weight loss, eosinophilia.
Praziquantel 25 mg/kg q 8 for one day.
Treat meningitis a lot longer
Look for the eggs in the stool and sputum.