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Case Reports
. 2008 Jun;46(6):2137-40.
doi: 10.1128/JCM.02424-07. Epub 2008 Apr 2.

Pulmonary paragonimiasis diagnosed by fine-needle aspiration biopsy

Affiliations
Case Reports

Pulmonary paragonimiasis diagnosed by fine-needle aspiration biopsy

Neda Zarrin-Khameh et al. J Clin Microbiol. 2008 Jun.

Abstract

We report a case of paragonimiasis involving a 12-year-old Latin American boy. The diagnosis was made by fine-needle aspiration biopsy of a pulmonary nodule. Identification of the species by morphometric analysis of the eggs indicated that the infection was caused by Paragonimus mexicanus.

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Figures

FIG. 1.
FIG. 1.
CT scan of chest illustrating well-defined lung nodules.
FIG. 2.
FIG. 2.
Paragonimus egg, composite photograph. The left panel shows an egg from the biopsy using fine-needle aspiration, where we see the characteristic thickened shell and slightly flattened end (Papanicolaou stain; magnification, ×400). The right side illustrates the birefringent Paragonimus egg; this characteristic helps differentiate this parasitic egg from Schistosoma japonicum (Papanicolaou stain; magnification, ×400).

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