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Paragonimiasis: Neglected, Re-Emerging or Expanding Frontiers. Lessons from a Case Presenting in Jos, Plateau State.
West Afr J Med. 2020 Jan-Mar; 37(1):85-87.WA

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.

Authors+Show Affiliations

Department of Medicine, Jos University Teaching Hospital, Jos Plateau State,Nigeria.Foundation Medical Centre, Rantya - Gyel, Jos Plateau State,Nigeria.Department of Medical Microbiology, Jos University Teaching Hospital, Jos Plateau State,Nigeria.Foundation Medical Centre, Rantya - Gyel, Jos Plateau State,Nigeria.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

32030717

Citation

Okeahialam, B N., et al. "Paragonimiasis: Neglected, Re-Emerging or Expanding Frontiers. Lessons From a Case Presenting in Jos, Plateau State." West African Journal of Medicine, vol. 37, no. 1, 2020, pp. 85-87.
Okeahialam BN, Nzekwe I, Ikeh EI, et al. Paragonimiasis: Neglected, Re-Emerging or Expanding Frontiers. Lessons from a Case Presenting in Jos, Plateau State. West Afr J Med. 2020;37(1):85-87.
Okeahialam, B. N., Nzekwe, I., Ikeh, E. I., & Ikeme, A. C. (2020). Paragonimiasis: Neglected, Re-Emerging or Expanding Frontiers. Lessons from a Case Presenting in Jos, Plateau State. West African Journal of Medicine, 37(1), 85-87.
Okeahialam BN, et al. Paragonimiasis: Neglected, Re-Emerging or Expanding Frontiers. Lessons From a Case Presenting in Jos, Plateau State. West Afr J Med. 2020 Jan-Mar;37(1):85-87. PubMed PMID: 32030717.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Paragonimiasis: Neglected, Re-Emerging or Expanding Frontiers. Lessons from a Case Presenting in Jos, Plateau State. AU - Okeahialam,B N, AU - Nzekwe,I, AU - Ikeh,E I, AU - Ikeme,A C, PY - 2020/2/8/entrez PY - 2020/2/8/pubmed PY - 2020/3/7/medline SP - 85 EP - 87 JF - West African journal of medicine JO - West Afr J Med VL - 37 IS - 1 N2 - 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. SN - 0189-160X UR - https://www.unboundmedicine.com/medline/citation/32030717/Paragonimiasis:_Neglected,_Re-Emerging_or_Expanding_Frontiers._Lessons_from_a_Case_Presenting_in_Jos,_Plateau_State DB - PRIME DP - Unbound Medicine ER -