Paragonimus Westermani. By Leo Pedretti Elizabeth Hall. Introduction. Causal Agent: Paragonimus westermani also known as the oriental lung fluke. Disease: Paragonimiasis
Once the parasite is in the lung or another organ, the worm stimulates an inflammatory response that eventually coats tissue.
If worms enter the CSF of the spinal cord, it can result in partial or total paralysis.
There have also been fatal cases of Paragonimiasis by infection of the heart.
Cerebral cases result in cerebral cysticercosis (condition in which fluid-filled cysts surrounding the worm are present).
The egg form leaves the definitive host and hatches in the miracidium that penestrates the snail.
The adult fluke is found in its mammalian host.
The metacercaria is the form ingested by humans.
The cercaria is the form that penetrates the crab.
~ snails and crabs
~ He had chronic cerebral paragonimiasis resulting in multiple calcified cysts in the brain.
~ He had the parasites so long that serological tests showed low antibody levels and no eggs or cysts where found in either stool or sputum.
~ By ingesting undercooked or uncooked freshwater crabs or crayfish