Paragonimiasis in Indochinese refugees. Roentenographic findings with clinical correlations

R. J. Johnson, J. R. Johnson

Research output: Contribution to journalArticlepeer-review

63 Scopus citations


Twenty-five Indochinese refugees with paragonimiasis were reviewed. Thirteen patients were diagnosed by ova identification in sputum specimens, but 12 patients were diagnosed by an elevated complement fixation titer in conjunction with clinical and epidemiologic criteria. Roentgenographic lesions included diffuse (44%) and segmental (24%) infiltrates, nodules (20%), and cavities (20%). The classic ring shadow was present in only 8%. Of note was the frequency of pleural effusions (48%), which were massive in 6 patients and the sole manifestation in 5. Although tuberculosis should always be excluded, work-up of pulmonary effusions and infiltrates in immigrants from Southeast Asia should include a serologic and microbiologic search for paragonimiasis.

Original languageEnglish (US)
Pages (from-to)534-538
Number of pages5
JournalAmerican Review of Respiratory Disease
Issue number3
StatePublished - Jan 1 1983


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