We proved 27 cases of paragonimiasis during the past 8 months(from Dec. 1958 to
Aug. 1959) in this institute, 26 cases were positive sputum for over, on had cerebral
lesion. 25 complicated cough, 23 had characteristic bloody sputum, 17 of the cases
complained general weakness or anorexia but fever was the least complain(in 7)
compare to X-ray findings and clinical signs. Some other minor symptoms were seen
such as weakness or pain for extremities, chest pain, lumbago, dyspnes, 7 cases
complained neurological symptoms but 2 cases showed brain atrophy. One was found
cerebral lesion on autopsy. 9 cases were normal in sedimentation rate, 14 have
increased(60%). Hemoglobin was normal in 17. Serum protein was examined on 10 and
increased in 4, and γ-globulin increased in 9. Leucocytosis was in 4, and eosinophilia
was existing in all leucocytosis cases but it´s not significant in entire series. Chest
X-ray showed several characteristical oatterns, predominantly thin walled cystic shadow
bronchopneumonic type, fibrosis, patchy form, and some other insignificant patterns.
In pleural changes, there were 3 of pleurisy, 12 of pleural reaction, 3 of spontaneous
hydropneumothorax. Total pleural change makes 18.
Sputum test is the most definite examination for confirming diagnosis. There is no
real effective remedy for this though there are some which reduced symptoms. Only
way so far, is in prevention of this disease.
The way to prevent this disease might be on stopping to eat those raw crabs or cray
fish.
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