A patient with early paragonimiasis may develop acute symptoms as the infective metacercariae invade the intestinal wall and migrate through the host.
Timing: from 1 day up to 2 months after the ingestion
The number of infecting metacercariae may influence how symptomatic that patient is.
Clinical features of early stage paragonimiasis:
(1) variable fever (often absent)
(2) fatigue and malaise
(3) abdominal pain with or without diarrhea
(4) urticaria
(5) pleuritic chest pain with or without a pleural effusion
(6) variable pneumothorax
(7) variable lymphadenopathy
Laboratory findings may include:
(1) eosinophilia
A significant percentage of patients may be asymptomatic or have minor symptoms during the acute phase.
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Specialty: Infectious Diseases, Pulmonology
ICD-10: ,
