{"id":20577,"date":"2026-06-25T03:46:00","date_gmt":"2026-06-25T03:46:00","guid":{"rendered":"https:\/\/www.pidsphil.org\/home\/?page_id=20577"},"modified":"2026-06-25T04:29:42","modified_gmt":"2026-06-25T04:29:42","slug":"journal-2026-vol-27-no-1-case-report","status":"publish","type":"page","link":"https:\/\/www.pidsphil.org\/home\/journal-2026-vol-27-no-1-case-report\/","title":{"rendered":"Journal 2026 Vol.27 No.1 Case Report"},"content":{"rendered":"<p><b><strong><span style=\"color: #800000;\">Journal 2026 Vol.27 No.1<\/span><\/strong><\/b><br \/>\n<b>Pediatric Pulmonary Paragonimiasis in the Philippines: A Case Report<\/b><br \/>\n<em><strong>Joanna Marie U. Tan, M.D., Maria Angela C. Maronilla, M.D., Grace Devota G. Go, M.D.<\/strong><\/em><\/p>\n<p><b>Background: <\/b>Paragonimiasis is a food-borne parasitic infection caused by Paragonimus species, usually transmitted through the ingestion of raw or undercooked freshwater crustaceans such as crabs and crayfish. Pulmonary paragonimiasis can closely resemble tuberculosis, often resulting in misdiagnosis and delayed treatment.<br \/>\n<b>Case Presentation: <\/b> A 16-year-old female from Metro Manila presented with chronic cough, hemoptysis, and weight loss. She had previously completed a six-month course of anti-tuberculosis therapy for a bacteriologically-confirmed, drug-sensitive pulmonary tuberculosis with only partial improvement. Three weeks prior to admission, 3 months after completion of treatment, her symptoms recurred. Further investigation through sputum examination using Ziehl\u2013Neelsen staining revealed Paragonimus ova. She was treated with Praziquantel 25 mg\/kg\/dose every 8 hours for two days, which led to marked symptomatic improvement and cessation of hemoptysis. Although paragonimiasis is relatively rare in the pediatric population, it remains endemic in some parts of the Philippines. This case highlights the importance of obtaining a thorough travel and dietary history and maintaining a high index of suspicion for paragonimiasis among tuberculosis-like illnesses that do not respond to standard therapy. Early recognition often allows prompt management and avoids unnecessary prolonged anti-tuberculous treatment.<br \/>\n<b>Conclusion:<\/b> Pediatric pulmonary paragonimiasis should be considered in patients presenting with chronic cough and hemoptysis unresponsive to anti-tuberculous therapy. Early recognition and appropriate treatment often result in excellent outcomes.<\/p>\n<p><b>KEYWORDS: <\/b><i>paragonimiasis, pediatric, Philippines, tuberculosis mimic, praziquantel<\/i><br \/>\n<a href=\"https:\/\/doi.org\/10.56964\/pidspj20262701008\"><strong>https:\/\/doi.org\/10.56964\/pidspj20262701008<\/strong><\/a><br \/>\n<strong><a href=\"https:\/\/www.pidsphil.org\/home\/wp-content\/uploads\/2026\/06\/9-Uy-Tan.pdf\" target=\"_\" rel=\"noopener\">View Full Article in PDF format<\/a>\u00a0<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Journal 2026 Vol.27 No.1 Pediatric Pulmonary Paragonimiasis in the Philippines: A Case Report Joanna Marie U. Tan, M.D., Maria Angela C. Maronilla, M.D., Grace Devota G. Go, M.D. Background: Paragonimiasis is a food-borne parasitic infection caused by Paragonimus species, usually transmitted through the ingestion of raw or undercooked freshwater crustaceans such as crabs and crayfish.  [&#8230;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-20577","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.pidsphil.org\/home\/wp-json\/wp\/v2\/pages\/20577","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.pidsphil.org\/home\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.pidsphil.org\/home\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.pidsphil.org\/home\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.pidsphil.org\/home\/wp-json\/wp\/v2\/comments?post=20577"}],"version-history":[{"count":4,"href":"https:\/\/www.pidsphil.org\/home\/wp-json\/wp\/v2\/pages\/20577\/revisions"}],"predecessor-version":[{"id":20583,"href":"https:\/\/www.pidsphil.org\/home\/wp-json\/wp\/v2\/pages\/20577\/revisions\/20583"}],"wp:attachment":[{"href":"https:\/\/www.pidsphil.org\/home\/wp-json\/wp\/v2\/media?parent=20577"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}