{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T10:09:31Z","timestamp":1753870171208,"version":"3.41.2"},"reference-count":8,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,2,26]],"date-time":"2025-02-26T00:00:00Z","timestamp":1740528000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Respirology Case Reports"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Paragonimiasis, or oriental lung fluke, a zoonotic disease acquired by consuming raw or undercooked crustaceans such as crabs or snails, can mimic tuberculosis in endemic regions. There is a wide range of clinical symptoms depending on the parasite location, from non\u2010specific symptoms like diarrhoea, abdominal pain, rash, and fever to pleuropulmonary symptoms like cough, haemoptysis, chest pain, and dyspnoea. Pneumothorax is the rare clinical picture. We present a case of a 48\u2010year\u2010old male non\u2010smoker with a persistent cough for 3 months and who was treated for acute eosinophilic pneumonia initially at another centre. He then presented with symptoms of spontaneous pneumothorax at our centre and was treated with a chest tube. Revisiting the history, raw snail consumption was noted. Microscopic examination of a wet mount bronchoalveolar lavage (BAL) confirmed the diagnosis of <jats:italic>Paragonimus westermani<\/jats:italic>, and praziquantel was started; he improved significantly within 48\u2009h.<\/jats:p>","DOI":"10.1002\/rcr2.70131","type":"journal-article","created":{"date-parts":[[2025,3,11]],"date-time":"2025-03-11T20:53:06Z","timestamp":1741726386000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Spontaneous Pneumothorax Secondary to Pulmonary Paragonimiasis: A Case Report Highlighting Diagnostic Delay in Eastern Nepal"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6224-7226","authenticated-orcid":false,"given":"Arun Kumar","family":"Mahato","sequence":"first","affiliation":[{"name":"Department of Pulmonary, Critical Care and Sleep Medicine Nobel Medical College Teaching Hospital  Biratnagar Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sonu","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Nobel Medical College Teaching Hospital  Biratnagar Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandip Kumar","family":"Sah","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Nobel Medical College Teaching Hospital  Biratnagar Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K. C.","family":"Rupak","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Nobel Medical College Teaching Hospital  Biratnagar Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bigyan","family":"Adhikari","sequence":"additional","affiliation":[{"name":"Nobel Medical College Teaching Hospital  Biratnagar Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashit","family":"Pokhrel","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Nobel Medical College Teaching Hospital  Biratnagar Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,2,26]]},"reference":[{"key":"e_1_2_8_2_1","first-page":"113","volume-title":"Advances in Parasitology","author":"Blair D.","year":"1999"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmcr.2020.101298"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/omcr\/omx083"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.actatropica.2019.105074"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-1006223"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.2169\/internalmedicine.54.1733"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jinf.2020.09.037"},{"issue":"2","key":"e_1_2_8_9_1","first-page":"192","article-title":"Paragonimus & paragonimiasis in India","volume":"136","author":"Singh T. S.","year":"2012","journal-title":"Indian Journal of Medical Research"}],"container-title":["Respirology Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/rcr2.70131","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T08:01:52Z","timestamp":1751356912000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/rcr2.70131"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,26]]},"references-count":8,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["10.1002\/rcr2.70131"],"URL":"https:\/\/doi.org\/10.1002\/rcr2.70131","archive":["Portico"],"relation":{},"ISSN":["2051-3380","2051-3380"],"issn-type":[{"type":"print","value":"2051-3380"},{"type":"electronic","value":"2051-3380"}],"subject":[],"published":{"date-parts":[[2025,2,26]]},"assertion":[{"value":"2024-12-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-11","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-26","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70131"}}