{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,13]],"date-time":"2026-06-13T18:35:30Z","timestamp":1781375730097,"version":"3.54.1"},"reference-count":16,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,7,3]]},"abstract":"<jats:p>We report an unusual case of paragonimiasis in a Nepali patient presenting with massive pericardial effusion and pericardial tamponade. The patient reported neither the consumption of crabs or crayfish nor the consumption of wild animal meat, which are the usual sources of infection. It is suspected that the source of infection was instead the ingestion of raw live slugs as part of a traditional medicine treatment.<\/jats:p>","DOI":"10.4269\/ajtmh.19-0018","type":"journal-article","created":{"date-parts":[[2019,5,14]],"date-time":"2019-05-14T07:02:16Z","timestamp":1557817336000},"page":"62-64","source":"Crossref","is-referenced-by-count":5,"title":["Case Report: Paragonimiasis Presenting with Pericardial Tamponade"],"prefix":"10.4269","volume":"101","author":[{"given":"Ranjit","family":"Sah","sequence":"first","affiliation":[{"name":"Department of Internal Medicine (Division of Infectious Disease), Medanta The Medicity, Gurgaon, India;"},{"name":"Institute of Medicine, Tribhuvan University, Kathmandu, Nepal;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neha","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine (Division of Infectious Disease), Medanta The Medicity, Gurgaon, India;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Poulomi","family":"Chatterji","sequence":"additional","affiliation":[{"name":"Department of Respiratory and Sleep Medicine, Medanta The Medicity, Gurgaon, India;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonal","family":"Krishan","sequence":"additional","affiliation":[{"name":"Department of Radiology and Imaging, Medanta The Medicity, Gurgaon, India;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monika","family":"Aggarwal","sequence":"additional","affiliation":[{"name":"Department of Radiology and Imaging, Medanta The Medicity, Gurgaon, India;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nitin","family":"Sood","sequence":"additional","affiliation":[{"name":"Department of Medical and Hemato-Oncology, Cancer Institute, Medanta The Medicity, Gurgaon, India;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samikshya","family":"Neupane","sequence":"additional","affiliation":[{"name":"Institute of Medicine, Tribhuvan University, Kathmandu, Nepal;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjit","family":"Sah","sequence":"additional","affiliation":[{"name":"Institute of Medicine, Tribhuvan University, Kathmandu, Nepal;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ranjana","family":"Sah","sequence":"additional","affiliation":[{"name":"Institute of Medicine, Tribhuvan University, Kathmandu, Nepal;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sven","family":"Poppert","sequence":"additional","affiliation":[{"name":"Department of Medicine, Swiss Tropical and Public Health Institute, Basel, Switzerland;"},{"name":"University of Basel, Basel, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie-Therese","family":"Ruf","sequence":"additional","affiliation":[{"name":"Department of Medicine, Swiss Tropical and Public Health Institute, Basel, Switzerland;"},{"name":"University of Basel, Basel, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beatrice","family":"Nickel","sequence":"additional","affiliation":[{"name":"Department of Medicine, Swiss Tropical and Public Health Institute, Basel, Switzerland;"},{"name":"University of Basel, Basel, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Neumayr","sequence":"additional","affiliation":[{"name":"Department of Medicine, Swiss Tropical and Public Health Institute, Basel, Switzerland;"},{"name":"University of Basel, Basel, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2795","reference":[{"key":"b1","series-title":"J Inst 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Cardiol","first-page":"22","article-title":"Clinical analysis of 128 children with pericardial effusion in Chongqing and Sichuan province","volume":"3","author":"Li","year":"2013"},{"key":"b7","series-title":"Chest","first-page":"A163","article-title":"Paragonimiasis: an unexpected cause of cardiac tamponade","volume":"152","author":"Taeb","year":"2017"},{"key":"b8","series-title":"Indian J Med Res","first-page":"192","article-title":"Paragonimus & paragonimiasis in India","volume":"136","author":"Singh","year":"2012"},{"key":"b9","series-title":"Zhonghua Er Ke Za Zhi","first-page":"396","article-title":"A misdiagnosed case of paragonimiasis with bilateral pleural effusion and pericardial effusion [in Chinese]","volume":"48","author":"Liu","year":"2010"},{"key":"b10","series-title":"Acta Trop","first-page":"107","article-title":"Toxocariasis-associated cardiac diseases\u2013a systematic review of the 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infection [in German]","volume":"53","author":"Kristoferitsch","year":"1982"},{"key":"b16","series-title":"Parasitol Int","first-page":"607","article-title":"Venison, another source of Paragonimus westermani infection","volume":"65","author":"Yoshida","year":"2016"}],"container-title":["The American Journal of Tropical Medicine and 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