A 55-year-old man from rural Laos presents with a chronic cough productive of blood-streaked sputum. Chest X-ray shows nodular infiltrates and a pleur...

Question

A 55-year-old man from rural Laos presents with a chronic cough productive of blood-streaked sputum. Chest X-ray shows nodular infiltrates and a pleural effusion. Three sputum ZN stains are negative for acid-fast bacilli. Sputum microscopy reveals large, golden-brown, operculated ova. What is the diagnosis and treatment?

Accepted Answer

Paragonimiasis; praziquantel 25 mg/kg TDS for 3 days

Answer

Pulmonary tuberculosis; RIPE regimen

Answer

Lung abscess; intravenous co-amoxiclav

Answer

Melioidosis; IV ceftazidime

Answer

Pulmonary aspergillosis; oral itraconazole

uk-dtmh MCQ (SBA): Paragonimiasis