Paragonimus infection history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Overview

The acute phase (invasion and migration) may be marked by diarrhea, abdominal pain, fever, cough, urticaria, hepatosplenomegaly, pulmonary abnormalities, and eosinophilia. During the chronic phase, pulmonary manifestations include cough, expectoration of discolored sputum, hemoptysis, and chest radiographic abnormalities. The sputum may be peppered consisting of clumps of eggs produced by the adult fluke living in the lung. Extrapulmonary locations of the adult worms result in more severe manifestations, especially when the brain is involved.