Hostname: page-component-586b7cd67f-rcrh6 Total loading time: 0 Render date: 2024-11-25T20:27:19.114Z Has data issue: false hasContentIssue false
  • English
  • Français

Incidence of paragonimiasis in Chongqing China: a 6-year retrospective case review

Published online by Cambridge University Press:  08 November 2017

Xiaohong Peng ,
Jingru Zhang ,
Jian Zhang ,
Ying Wang  and
Xilin Zhang
Xiaohong Peng*
Affiliation:
Department of Parasitology, Guilin Medical University, Guilin, Guangxi 541004, China Department of Pathogenic Biology, Third Military Medical University, Chongqing 400038, China
Jingru Zhang
Affiliation:
Department of Pathogenic Biology, Third Military Medical University, Chongqing 400038, China
Jian Zhang
Affiliation:
Department of Pathogenic Biology, Third Military Medical University, Chongqing 400038, China
Ying Wang
Affiliation:
Institute of Tropical Medicine, Third Military Medical University, Chongqing 400038, China
Xilin Zhang*
Affiliation:
Department of Pathogenic Biology, Third Military Medical University, Chongqing 400038, China
*
Authors for correspondence: Xiaohong Peng, E-mail: [email protected] and Xilin Zhang, E-mail: [email protected]
Authors for correspondence: Xiaohong Peng, E-mail: [email protected] and Xilin Zhang, E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Paragonimiasis is an important infectious disease in Chongqing, China. However, no epidemiological surveys of paragonimiasis have been carried out in Chongqing since it became a municipality in 1997. We conducted a retrospective case review of 683 patients who were referred to our laboratory and diagnosed as having paragonimiasis during 2010–2015. Patients were diagnosed with paragonimiasis based on immunodiagnostic tests in addition to clinical and laboratory findings. Patient data extracted from the epidemiologic form were analysed. The majority of patients were distributed on the east side of the Wujiang River, which belongs to the Three Gorges Reservoir region. Consumption of raw or undercooked freshwater crab or crayfish in the family Cambaridae was the main reason for infection. Notably, more than 50·0% of patients were diagnosed between March and July, indicating that serious clinical symptoms only appear approximately 6 months post-infection. Paragonimiasis remains a public health issue in Chongqing, and an epidemiological study of Paragonimus in the Three Gorges region is strongly recommended.

Keywords

Epidemiologyparagonimiasisretrospective case reviewThree Gorges Reservoir
Type
Research Article
Information
Parasitology , Volume 145 , Issue 6 , May 2018 , pp. 792 - 796
Check for updates
Copyright
Copyright © Cambridge University Press 2017 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ahn, CS, Na, BK, Chung, DL, Kim, JG, Kim, JT and Kong, Y (2015) Expression characteristics and specific antibody reactivity of diverse cathepsin F members of Paragonimus westermani. Parasitology International 64, 37–42.Google Scholar
Besprozvannykh, VV (1994) [The epizootiological problems of trematodiases in the Maritime Territory]. Meditsinskaia Parazitologiia i Parazitarnye Bolezni 3, 28–31.Google Scholar
Blair, D, Nawa, Y, Mitreva, M and Doanh, PN (2016) Gene diversity and genetic variation in lung flukes (genus Paragonimus). Transactions of the Royal Society of Tropical Medicine and Hygiene 110, 6–12.Google Scholar
Coordinating Office of the National Survey on the Important Human Parasitic Diseases (2005) A national survey on current status of the important parasitic diseases in human population. Chinese Journal of Parasitology and Parasitic Diseases 23, 332–340.Google Scholar
Das, M, Doleckova, K, Shenoy, R, Mahanta, J, Narain, K, Devi, KR, Konyak, T, Mansoor, H and Isaakidis, P (2017) Paragonimiasis in tuberculosis patients in Nagaland, India. Global Health Action 9, 32387.CrossRefGoogle Scholar
Doanh, NP, Tu, AL, Bui, TD, Loan, TH, Nonaka, N, Horii, Y, Blair, D and Nawa, Y (2016) Molecular and morphological variation of Paragonimus westermani in Vietnam with records of new second intermediate crab hosts and a new locality in a northern province. Parasitology 143, 1639–1646.CrossRefGoogle Scholar
Fischer, PU and Weil, GJ (2015) North American paragonimiasis: epidemiology and diagnostic strategies. Expert Review of Anti-Infective Therapy 13, 1–8.CrossRefGoogle ScholarPubMed
Friant, S, Brown, K, Saari, MT, Segel, NH, Slezak, J and Goldberg, TL (2015) Lung fluke (Paragonimus africanus) infects Nigerian red-capped mangabeys and causes respiratory disease. International Journal for Parasitology. Parasites and Wildlife 4, 329–332.CrossRefGoogle ScholarPubMed
Gan, XX, Shi, SX, Wang, Y, Wang, PP, Shen, HY, Zhu, MD, Tang, Y and Zhang, S (2005) Development of rapid diagnostic Kit (Dot Immunogold Filtration Assay) for detection of antibodies against Paragonimus westermani. Chinese Journal of Zoonoses 21, 988–990.Google Scholar
Keiser, J and Utzinger, J (2009) Food-borne trematodiases. Clinical Microbiology Reviews 22, 466–483.CrossRefGoogle ScholarPubMed
Liu, Q, Wei, F, Liu, W, Yang, S and Zhang, X (2008) Paragonimiasis: an important food-borne zoonosis in China. Trends in Parasitology 24, 318–323.Google Scholar
Nagayasu, E, Yoshida, A, Hombu, A, Horii, Y and Maruyama, H (2015) Paragonimiasis in Japan: a twelve-year retrospective case review (2001–2012). Internal Medicine 54, 179–186.CrossRefGoogle ScholarPubMed
Wang, CQ, Yang, SJ, Wang, DJ, Pan, HM, Lv, QY, Qiu, MS, Li, XF and Gan, YQ (2009) Investigation on the etiology of Paragonimiasis skrjabini in Xingshan County locating the Reservoir Area of Three Gorges. Journal of Pathogen Biology 4, 36–39.Google Scholar
Yang, S, Liu, JP, Song, JY, Lin, H, Huang, Y, Zhu, FA, Tan, CX and Shi, L (2002) Seroepidemiological investigation on paragonimiasis at migration areas of the Three-Gorge Reservoir Chongqing region of Yangtze River. Acta Academiae Medicine Militaris Tertiae 24, 1070–1072.Google Scholar
Yatera, K, Hanaka, M, Hanaka, T, Yamasaki, K, Nishida, C, Kawanami, T, Kawanami, Y, Ishimoto, H, Kanazawa, T and Mukae, H (2015) A rare case of Paragonimiasis miyazakii with lung involvement diagnosed 7 years after infection: a case report and literature review. Parasitology International 64, 274–280.CrossRefGoogle ScholarPubMed
Yoshida, A, Matsuo, K, Moribe, J, Tanaka, R, Kikuchi, T, Nagayasu, E, Misawa, N and Maruyama, H (2016) Venison, another source of Paragonimus westermani infection. Parasitology International 65, 607–612.Google Scholar
Yu, S, Zhang, X, Chen, W, Zheng, H, Ai, G, Ye, N and Wang, Y (2017) Development of an immunodiagnosis method using recombinant PsCP for detection of Paragonimus skrjabini infection in human. Parasitology Research 116, 377–385.Google Scholar
Zhang, X, Peng, L, Liu, W, Fan, L, Zhang, Q, Chen, G, He, P, Wu, R, Liu, A, Yang, Y, Yu, X and Yun, L (2014) Response of primary vectors and related diseases to impoundment by the Three Gorges Dam. Tropical Medicine & International Health 19, 440–449.Google Scholar
Zhang, XL, Wang, Y, Wang, GX, Chen, WB, He, X, Niu, H, Li, ZL, Chen, L and Wang, LF (2012) Distribution and clinical features of Paragonimiasis skrjabini in Three Gorges Reservoir Region. Parasitology International 61, 645–649.Google Scholar