Paragonimiasis, Endemic Haemoptysis

Paragonimiasis, Endemic Haemoptysis - a tropical disease that develops mainly in residents of the Far East; is caused by the entry of trematodes of the species Paragonimus westermani into the human lungs. Infection occurs when eating poorly processed fish, especially crayfish and crabs. Symptoms of the disease are largely similar to those of chronic bronchitis, including coughing up blood and difficulty breathing (dyspnea). Bithionol and chloroquine are used to treat paragonimiasis.



Paragonimiasis, Endemic Haemoptysis: description, symptoms and treatment

Paragonimiasis, also known as endemic hemoptysis, is a tropical disease that is most often found among residents of the Far East. This disease is caused by the entry of trematodes of the species Paragonimus westermani into the human lungs. Infection occurs when eating poorly processed fish, especially crayfish and crabs.

The symptoms of paragonimiasis are in many ways similar to the symptoms of chronic bronchitis. Patients may experience coughing up blood (hemoptosis), difficulty breathing (dyspnea), cough, chest pain, and fatigue. In some cases, patients may complain of gastrointestinal disorders such as nausea, vomiting, diarrhea and abdominal pain.

Bithionol and chloroquine are used to treat paragonimiasis. Bithionol is a drug from the trichloromethylbenzene group, which is highly effective against trematodes. Chloroquine is also used to treat paragonimiasis, but can be associated with a number of side effects, including nausea, vomiting, headache and drowsiness.

Preventing paragonimiasis involves properly processing fish before eating it. Fish must be thoroughly cleaned and cooked to a temperature sufficient to kill any possible parasites.

Thus, paragonimiasis is a serious disease that can lead to serious consequences if not detected and treated promptly. Patients experiencing symptoms associated with hemoptysis should see a doctor for diagnosis and treatment.



Paragoniosis or Paragonymic dicroceliosis is a helminthic disease caused by a parasite from the trematode-marita class - the liver fluke or, in another variant, the pulmonary fluke of the schistosomid family.

It is found predominantly in the Far East (in Russia, the Primorsky and Khabarovsk territories are most affected) and in Central America. Indigenous people are susceptible to the disease; in Russia, the disease is confined to the national administrative-territorial entity of Yakutia

The causative agent of paragonimiasis parasitizes in various organs and tissues, most often in the liver, less often in the lungs. The mechanism of transmission of infection is alimentary - through an intermediate host - freshwater snails of the genus pulmonary fluke. A person becomes infected by accidentally ingesting live pathogens in contaminated drinking water, or sometimes by eating insufficiently cooked or fried contaminated fish. The life cycle of an invasion in the human body can last up to 30 years

The disease occurs after eating fish or shrimp that have not undergone sufficient heat treatment and contain trematode cysts. On average, the disease develops within 1-5 months after infection. Manifestations of the disease occur only through