A 50-year-old farmer from the Philippines presents with bloody sputum. He regularly eats raw freshwater crabs. His chest X-ray shows a cavitating lesi...

Question

A 50-year-old farmer from the Philippines presents with bloody sputum. He regularly eats raw freshwater crabs. His chest X-ray shows a cavitating lesion in the right lower lobe with a pleural effusion. Sputum ZN stain is negative for AFB. What parasitic cause should be considered?

Accepted Answer

Paragonimus westermani (or P. heterotremus)

Answer

Ascaris lumbricoides

Answer

Strongyloides stercoralis

Answer

Wuchereria bancrofti

Answer

Schistosoma japonicum

uk-dtmh MCQ (SBA): Paragonimiasis Mimicking TB

A 50-year-old farmer from the Philippines presents with bloody sputum. He regularly eats raw freshwater crabs. His chest X-ray shows a cavitating lesion in the right lower lobe with a pleural effusion. Sputum ZN stain is negative for AFB. What parasitic cause should be considered?