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Volume 18, Number 8—August 2012

Paragonimus kellicotti Flukes in Missouri, USA

Michael A. LaneComments to Author , Luis A. Marcos, Nur F. Onen, Lee M. Demertzis, Ericka V. Hayes, Samuel Z. Davila, Diana R. Nurutdinova, Thomas C. Bailey, and Gary J. Weil
Author affiliations: Washington University School of Medicine, St. Louis, Missouri, USA (M.A. Lane, L.A. Marcos, N.F. Onen, L.M. Demertzis, E.V. Hayes, S.Z. Davila, D.R. Nurutdinova, T.C. Bailey, G.J. Weil); and John Cochran Veterans Administration Medical Center, St. Louis (D.R. Nurutdinova)

Main Article

Table 2

Clinical and laboratory findings for 9 patients infected with Paragonimus kellicotti flukes, Missouri, USA, September 2009–October 2010*

Characteristic Value
Age, y, median (range) 28 (10–43)
Male sex 8 (88.9)
Alcohol consumption 7 (77.8)
Incubation period, wk, median (range) 4 (2–12)
Duration of symptoms before examination, wk, median (range) 2 (2–8)
Signs and symptoms


8 (88.9)


9 (100.0)

Chest pain

6 (66.7)


4 (44.4)

Night sweats

5 (55.6)


5 (55.6)

Abdominal pain

2 (22.2)

Weight loss

7 (77.8)
Laboratory findings

Eosinophils/mm3 at first examination, mean

1,626 (800–3,600)

% Eosinophils at first examination, mean

15 (6–30)

Positive paragonimus immunoblot result†

5 (71.4)

Positive sputum ova and parasite test result†

1 (14.2)
Radiographic findings

Pleural effusion

9 (100.0)


4 (44.4)

Pericardial effusion

4 (44.4)

*Values are no. (%) unless otherwise indicated.
†n = 7.

Main Article

Page created: July 23, 2012
Page updated: July 23, 2012
Page reviewed: July 23, 2012
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.