TY - JOUR AU - Lane, Michael AU - Marcos, Luis AU - Onen, Nur AU - Demertzis, Lee AU - Hayes, Ericka AU - Davila, Samuel AU - Nurutdinova, Diana AU - Bailey, Thomas AU - Weil, Gary T1 - Paragonimus kellicotti Flukes in Missouri, USA T2 - Emerging Infectious Disease journal PY - 2012 VL - 18 IS - 8 SP - 1263 SN - 1080-6059 AB - Paragonimiasis is an infection caused by lung flukes of the genus Paragonimus. In Asia, P. westermani infections are relatively common because of dietary practices. However, in North America, cases of paragonimiasis, which are caused by P. kellicotti flukes, are rare. Only 7 autochthonous cases of paragonimiasis were reported during 1968–2008. In 2009, we reported 3 new case-patients with paragonimiasis who had been seen at our medical center over an 18-month period. Six additional case-patients were identified in St. Louis, Missouri, USA, and treated at Washington University–affiliated health centers in 2009–2010. We report detailed descriptions of these case-patients, which includes unusual clinical manifestations. We also describe public health interventions that were undertaken to inform the general public and physicians about the disease and its mode of transmission. KW - paragonimiasis KW - Paragonimus kellicotti KW - flukes KW - crayfish KW - emerging pathogen KW - trematode KW - parasites KW - Missouri KW - USA KW - United States DO - 10.3201/eid1808.120335 UR - https://wwwnc.cdc.gov/eid/article/18/8/12-0335_article ER - End of Reference