PULMONARY PARAGONIMIASIS: REPORT OF A CASE*

PULMONARY paragonimiasis has rarely been studied in the United States. The case to be presented, the first admitted to the Columbia-Presbyterian Med-ical Center, afforded an unusual opportunity for the investigation of this dis-ease, which is found predominantly in the Orient. CASE REPORT A 29 year old Chinese merchant marine officer was admitted to the Medical Service of the Presbyterian Hospital in March, 1956, because of 16 months of cough productive of blood-tinged sputum. There was no history of parasitic disease or serious illness in any member of his immediate family. In the past the patient had had four episodes of presumed tertian malaria, and an illness compatible with typhoid fever. As a maritime officer, the patient had been at sea since 1948 and had traveled extensively in the Orient and Near East. In November, 1954, his ship was in the Japanese port of Moji. At that time 35 members of the crew ate fresh-water crabs which had been prepared merely by soaking in salt water. The patient had con