Parasites, Hosts and Diseases

The Korea Society for Parasitology and Tropical Medicine (대한기생충학·열대의학회)
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Asymptomatic Human Paragonimiasis among the Karen People in Tak Province, Thailand: A Case Report

  • Kusolsuk, Teera (Department of Helminthology, Faculty of Tropical Medicine, Mahidol University) ;
  • Phuphisut, Orawan (Department of Helminthology, Faculty of Tropical Medicine, Mahidol University) ;
  • Maipanich, Wanna (Department of Helminthology, Faculty of Tropical Medicine, Mahidol University) ;
  • Pubampen, Somchit (Department of Helminthology, Faculty of Tropical Medicine, Mahidol University) ;
  • Sa-nguankiat, Surapol (Department of Helminthology, Faculty of Tropical Medicine, Mahidol University) ;
  • Poodeepiyasawat, Akkarin (Department of Helminthology, Faculty of Tropical Medicine, Mahidol University) ;
  • Homsuwan, Nirundorn (Department of Helminthology, Faculty of Tropical Medicine, Mahidol University) ;
  • Mongkolmoo, Srisuchart (Bangkok school of Tropical Medicine, Faculty of Tropical Medicine, Mahidol University) ;
  • Yoonuan, Tippayarat (Department of Helminthology, Faculty of Tropical Medicine, Mahidol University) ;
  • Adisakwattana, Poom (Department of Helminthology, Faculty of Tropical Medicine, Mahidol University) ;
  • Silachamroon, Udomsak (Department of Clinical Tropical Medicine, Faculty of Tropical Medicine, Mahidol University) ;
  • Nawa, Yukifumi (Tropical Diseases Research Center, Faculty of Medicine, Khon Kaen University)
  • Received : 2019.02.23
  • Accepted : 2019.09.16
  • Published : 2020.02.29
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Abstract

During the mobile clinic activities in Tak Province, Thailand, Paragonimus sp. eggs were found in a fecal sample of a 72-year-old Karen resident. Paragonimus DNA was amplified from the stool sample and identified to P. heterotremus. The patient did not have any symptoms. Apparent pulmonary lesion was not found on the chest X-ray. The patient admitted habitual consumption of semi-cooked or roasted waterfall crabs for several years. The waterfall crabs collected from stream near the village were found negative for Paragonimus metacercariae. In northern Thailand, paragonimiasis remains as one of the public health concerns and should be ruled out for asymptomatic pulmonary patients.

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References

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