A fluke occurrence of paramount significance

Clinical grounds, peripheral eosinophilia (12% in our case; higher in acute settings), imaging (showing calcified or uncalcified lung cysts, multilocular cavities, pleural thickening, pleural effusions, pneumonia and/or hilar enlargement), microscopy (eggs or the adult worm in sputum/bronchoalveolar...

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Published in:Journal of postgraduate medicine (Bombay) 2011-07, Vol.57 (3), p.255-256
Main Authors: Gude, D, Bansal, D P
Format: Article
Language:English
Subjects:
Case studies
Crustaceans
Development and progression
Diagnosis
Fluke infections
Genetic aspects
Genetic diversity
Physiological aspects
Proteases
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Bansal, D P
description Clinical grounds, peripheral eosinophilia (12% in our case; higher in acute settings), imaging (showing calcified or uncalcified lung cysts, multilocular cavities, pleural thickening, pleural effusions, pneumonia and/or hilar enlargement), microscopy (eggs or the adult worm in sputum/bronchoalveolar lavage (BAL)/stool), serology (enzyme-linked immunosorbent assay [ELISA] being >90% sensitive and 100% specific [5] ) and biopsy of cerebral, intraabdominal or subcutaneous nodules depicting the worms are the various modalities that pin point a definitive diagnosis. Treatment recommendations include praziquantel or triclabendazole although preventive strategies involving proper health education, hygiene, avoiding raw crab/cray fish consumption are better ways to eradicate the infection.
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ispartof Journal of postgraduate medicine (Bombay), 2011-07, Vol.57 (3), p.255-256
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source IngentaConnect Journals; ProQuest - Publicly Available Content Database
subjects Case studies
Crustaceans
Development and progression
Diagnosis
Fluke infections
Genetic aspects
Genetic diversity
Physiological aspects
Proteases
title A fluke occurrence of paramount significance
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