{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T04:50:34Z","timestamp":1780635034023,"version":"3.54.1"},"reference-count":22,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"4","license":[{"start":{"date-parts":[[2023,4,5]],"date-time":"2023-04-05T00:00:00Z","timestamp":1680652800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,4,5]]},"abstract":"<jats:title>ABSTRACT.<\/jats:title>\n<jats:p>Paragonimiasis is a food-born zoonotic parasitosis caused by <jats:italic>Paragonimus<\/jats:italic> spp. Six cases of reemerging paragonimiasis within the Karan hill-tribe near the Thai\u2013Myanmar border were evaluated to review clinical manifestations, predisposing factors, and treatment regimens. All patients tested positive for paragonimiasis eggs and presented with an array of symptoms, including chronic cough, hemoptysis, peripheral eosinophilia, and thoracic radiograph abnormalities. All fully recovered after a 2- to 5-day course of 75 to 80 mg\/kg\/day praziquantel. We conclude that paragonimiasis should be considered during differential diagnoses to promote early treatment and to prevent misdiagnosis of reemerging or sporadic cases. This applies particularly to endemic regions and high-risk groups known to habitually consume raw or undercooked intermediate or paratenic hosts.<\/jats:p>","DOI":"10.4269\/ajtmh.22-0708","type":"journal-article","created":{"date-parts":[[2023,2,27]],"date-time":"2023-02-27T13:37:00Z","timestamp":1677505020000},"page":"738-743","source":"Crossref","is-referenced-by-count":9,"title":["Case Report: Reemerging Paragonimiasis in Umphang District, Thailand"],"prefix":"10.4269","volume":"108","author":[{"given":"Jiranat","family":"Hanprom","sequence":"first","affiliation":[{"name":"Umphang Hospital, Tak, Thailand;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keswadee","family":"Lapphra","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Worawit","family":"Tontiwattanasap","sequence":"additional","affiliation":[{"name":"Umphang Hospital, Tak, Thailand;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ratchadaporn","family":"Papwijitsil","sequence":"additional","affiliation":[{"name":"Umphang Hospital, Tak, Thailand;"},{"name":"Division of Epidemiology, Department of Disease Control, Ministry of Public Health, Nonthaburi, Thailand;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"Copeland","sequence":"additional","affiliation":[{"name":"Department of Sciences, Mahidol University International College, Nakhon Pathom, Thailand;"},{"name":"Siriraj Institute of Clinical Research, Mahidol University, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kulkanya","family":"Chokephaibulkit","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand;"},{"name":"Siriraj Institute of Clinical Research, Mahidol University, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2795","reference":[{"key":"b1","series-title":"One Health Implement Res","first-page":"96","article-title":"Current status of the treatment of paragonimiasis","volume":"2","author":"Richter","year":"2022"},{"key":"b2","series-title":"Medicine (Baltimore)","first-page":"e7265","article-title":"Paragonimiasis in children in southwest China: a retrospective case reports review from 2005 to 2016","volume":"96","author":"Gong","year":"2017"},{"key":"b3","series-title":"Emerg Infect Dis","first-page":"1263","article-title":"Paragonimus kellicotti flukes in Missouri, USA","volume":"18","author":"Lane","year":"2012"},{"key":"b4","series-title":"Southeast Asian J Trop Med Public Health","first-page":"593","article-title":"Paragonimiasis prevalences in Saraburi Province, Thailand, measured 20 years apart","volume":"39","author":"Yoonuan","year":"2008"},{"key":"b5","series-title":"Southeast Asian J Trop Med Public Health","first-page":"853","article-title":"Case report: paragonimiasis in Nan Province, northern Thailand","volume":"36","author":"Watthanakulpanich","year":"2005"},{"key":"b6","series-title":"Intern Med","first-page":"353","article-title":"Re-emergence of paragonimiasis","volume":"39","author":"Nawa","year":"2000"},{"key":"b7","series-title":"Korean J Parasitol","first-page":"621","article-title":"Paragonimus and paragonimiasis in Vietnam: an update","volume":"51","author":"Doanh","year":"2013"},{"key":"b8","series-title":"J Med Assoc Thai","first-page":"S231","article-title":"Coinfection of pulmonary paragonimiasis and pulmonary tuberculosis in Thailand","volume":"99","author":"Petborom","year":"2016"},{"key":"b9","series-title":"Southeast Asian J Trop Med Public Health","first-page":"51","article-title":"The present situation of paragonimiasis in endemic area in Phitsanulok Province","volume":"32","author":"Waree","year":"2001"},{"key":"b10","series-title":"Seminars in Respiratory Medicine","first-page":"35","author":"Shim","year":"1991"},{"key":"b11","series-title":"Ann Trop Med Parasitol","first-page":"509","article-title":"The first case of human paragonimiasis caused by Paragonimus heterotremus Chen et Hsia, 1964","volume":"60","author":"Miyazaki","year":"1966"},{"key":"b12","series-title":"Am J Trop Med Hyg","first-page":"924","article-title":"Different chest radiographic findings of pulmonary paragonimiasis in two endemic countries","volume":"83","author":"Kanpittaya","year":"2010"},{"key":"b13","series-title":"Parasitology","first-page":"1286","article-title":"Lung flukes of the genus Paragonimus: ancient and re-emerging pathogens","volume":"149","author":"Blair","year":"2022"},{"key":"b14","series-title":"Clin Infect Dis","first-page":"e55","article-title":"Human paragonimiasis in North America following ingestion of raw crayfish","volume":"49","author":"Lane","year":"2009"},{"key":"b15","series-title":"Korean J Parasitol","first-page":"281","article-title":"Three cases of paragonimiasis in a family","volume":"47","author":"Sohn","year":"2009"},{"key":"b16","series-title":"J Trop Med Hyg","first-page":"316","article-title":"Paragonimus mexicanus pericarditis: report of two cases and review of the literature","volume":"98","author":"Saborio","year":"1995"},{"key":"b17","series-title":"Korean J Intern Med","first-page":"56","article-title":"Pleural fluid characteristics of pleuropulmonary paragonimiasis masquerading as pleural tuberculosis","volume":"30","author":"Hwang","year":"2015"},{"key":"b18","series-title":"Parasitology","first-page":"1257","article-title":"Foodborne trematodes: old foes, new kids on the block and research perspectives for control and understanding host\u2013parasite interactions","volume":"149","author":"Robinson","year":"2022"},{"key":"b19","series-title":"Acta Trop","first-page":"105074","article-title":"Paragonimus and paragonimiasis in Asia: an update","volume":"199","author":"Yoshida","year":"2019"},{"key":"b20","series-title":"AJR Am J Roentgenol","first-page":"39","article-title":"Pleuropulmonary paragonimiasis: radiologic findings in 71 patients","volume":"159","author":"Im","year":"1992"},{"key":"b21","series-title":"J Clin Microbiol","first-page":"2077","article-title":"Excretory-secretory antigenic components of Paragonimus heterotremus recognized by infected human sera","volume":"30","author":"Maleewong","year":"1992"},{"key":"b22","series-title":"Southeast Asian J Trop Med Public Health","first-page":"340","article-title":"Paragonimiasis in Mae Hong Son Province northern Thailand: case report","volume":"22","author":"Ekarohit","year":"1991"}],"container-title":["The American Journal of Tropical Medicine and 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