Paragonimiasis: Neglected, Re-Emerging or Expanding Frontiers. Lessons from a Case Presenting in Jos, Plateau State.
West Afr J Med
; 37(1): 85-87, 2020.
Article
em En
| MEDLINE
| ID: mdl-32030717
ABSTRACT
BACKGROUND AND OBJECTIVES:
Paragonimiasis is endemic in Eastern Nigeria. An upsurge was recorded after the Nigeria/Biafra war as protein lack in Biafra forced people to eat fresh water crabs. Its protean manifestations create confusion with several diseases. Elimination was assumed after a while and suspicion index fell. The interest in reporting this case follows its presentation outside the traditional endemic zone.RESULTS:
The patient, though living in Eastern Nigeria and manifesting several pointers of Paragonimiasis, was treated as tuberculosis despite negative sputum AFB; without improving. He then presented up-country in Jos where history led to suspicion and confirmation of Paragonimiasis. By this time he had severe cor-pulmonale and died despite treatment.CONCLUSION:
In this current economic downturn in Nigeria which may drive people to cheaper protein sources, a high index of suspicion should be raised for paragonimiasis when a patient presents with chronic cough productive of AFB-negative sputum and haemoptysis.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Paragonimíase
/
Paragonimus
Tipo de estudo:
Diagnostic_studies
Limite:
Animals
/
Humans
/
Male
País/Região como assunto:
Africa
Idioma:
En
Revista:
West Afr J Med
Ano de publicação:
2020
Tipo de documento:
Article
País de afiliação:
Nigéria