A case of spontaneous pneumothorax due to paragonimiasis in North America with literature review

• DOI: 10.1016/j.idcr.2023.e01742
• Publication Date: 2023-03-09T17:25:17Z
• Authors: Seung Ah Kang; Parag Kumar Patel; Sachin Patil; Andres Bran-Acevedo; Lester Layfield; Sebastian Wiesemann; William Roland
• Keywords: Paragonimiasis; North America; Case Report; Paragonimus kellicotti; Lung fluke; Infectious and parasitic diseases; RC109-216; Parasitic lung infection

The species, Paragonimus kellicotti , causes human paragonimiasis in North America. As a foodborne disease, infection with P. occurs after eating raw or undercooked crayfish containing metacercariae. Many risk factors have been described the literature, including young adult age, male, alcohol consumption, outdoor activities involving rivers within Missouri, and ingesting partially cooked crayfish. Here, we report case of 41-year-old male 5-year history cough who presented acute shortness breath. Further workup showed mild eosinophilia spontaneous pneumothorax. A definitive diagnosis was made lung biopsy, which eggs. questioning revealed that patient took hunting river rafting trip on Missouri 5 years ago, though negative for any consumption. Paragonimiasis should be considered those associated clinical features, eosinophilia, raft float even if is ingestion travel.