{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T00:55:13Z","timestamp":1773363313402,"version":"3.50.1"},"reference-count":17,"publisher":"Instituto Nacional de Salud (Colombia)","issue":"1","license":[{"start":{"date-parts":[[2025,3,28]],"date-time":"2025-03-28T00:00:00Z","timestamp":1743120000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,3,28]],"date-time":"2025-03-28T00:00:00Z","timestamp":1743120000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["revistabiomedica.org"],"crossmark-restriction":false},"short-container-title":["Biomed."],"abstract":"<jats:p>La paragonimiasis es una parasitosis causada por el trematodo Paragonimus spp. La Organizaci\u00f3n Mundial de la Salud la considera una enfermedad tropical desatendida, clasificada como alimentaria, causada por la ingesti\u00f3n de crust\u00e1ceos de agua dulce, infectados, crudos o insuficientemente cocidos. En Ecuador, es end\u00e9mica en las regiones tropicales de la de la costa y la amazonia.Se presenta el caso de un ni\u00f1o kichwa de diez a\u00f1os, originario de una comunidad rural de la regi\u00f3n amaz\u00f3nica, diagnosticado en el Hospital Pedi\u00e1trico de Quito. El ni\u00f1o presentaba s\u00edntomas de tos y expectoraci\u00f3n herrumbrosa desde hac\u00eda cuatro a\u00f1os, con antecedentes de ingesti\u00f3n de cangrejos. En la tomograf\u00eda computarizada se observaron cambios en el par\u00e9nquima pulmonar sugestivos de paragonimiasis pulmonar. El diagn\u00f3stico se confirm\u00f3 mediante la observaci\u00f3n microsc\u00f3pica de huevos operculados de Paragonimus spp. en el esputo. Se administr\u00f3 triclabendazol durante dos d\u00edas y los controles posteriores mostraron resultados negativos en los esputos.Se discute la posibilidad del diagn\u00f3stico en regiones no end\u00e9micas, as\u00ed como la falta de sospecha cl\u00ednica y del diagn\u00f3stico con pruebas de laboratorio en las zonas end\u00e9micas. Adem\u00e1s, se se\u00f1ala la carencia de los f\u00e1rmacos de elecci\u00f3n \u2013triclabendazol y praziquantel\u2013en Ecuador.<\/jats:p>","DOI":"10.7705\/biomedica.7469","type":"journal-article","created":{"date-parts":[[2025,3,31]],"date-time":"2025-03-31T15:23:56Z","timestamp":1743434636000},"page":"17-24","update-policy":"https:\/\/doi.org\/10.7705\/crossmark","source":"Crossref","is-referenced-by-count":0,"title":["Paragonimiasis pulmonar cr\u00f3nica en ni\u00f1o ind\u00edgena kichwa contagiado en la amazonia ecuatoriana","Chronic pulmonary paragonimiasis in an indigenous Kichwa child infected in the Ecuadorian Amazon"],"prefix":"10.7705","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0286-0747","authenticated-orcid":false,"given":"Manuel","family":"Calvopina","sequence":"first","affiliation":[{"name":"One Health Research Group, Facultad de Medicina, Universidad de las Am\u00e9ricas, Quito, Ecuador"},{"name":"One Health Research Group, Facultad de Medicina, Universidad de las Am\u00e9ricas, Quito, Ecuador"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7502-3758","authenticated-orcid":false,"given":"El\u00edas David","family":"Guaman-Charco","sequence":"additional","affiliation":[{"name":"Hospital General Marco Vinicio Iza, Ministerio de Salud P\u00fablica, Nueva Loja, Sucumb\u00edos, Ecuador"},{"name":"Hospital General Marco Vinicio Iza, Ministerio de Salud P\u00fablica, Nueva Loja, Sucumb\u00edos, Ecuador"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-8617-8630","authenticated-orcid":false,"given":"Jeremmy","family":"Erazo-Coello","sequence":"additional","affiliation":[{"name":"One Health Research Group, Facultad de Medicina, Universidad de las Am\u00e9ricas, Quito, Ecuador"},{"name":"One Health Research Group, Facultad de Medicina, Universidad de las Am\u00e9ricas, Quito, Ecuador"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-2684-3145","authenticated-orcid":false,"given":"Ver\u00f3nica","family":"Osorio-Pozo","sequence":"additional","affiliation":[{"name":"One Health Research Group, Facultad de Medicina, Universidad de las Am\u00e9ricas, Quito, Ecuador"},{"name":"One Health Research Group, Facultad de Medicina, Universidad de las Am\u00e9ricas, Quito, Ecuador"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4507-5519","authenticated-orcid":false,"given":"Angelita","family":"Cabrera-Aguilar","sequence":"additional","affiliation":[{"name":"Servicio de Neumolog\u00eda, Hospital Pedi\u00e1trico Baca Ortiz, Ministerio de Salud P\u00fablica, Quito, Ecuador;\u00a0Facultad de Ciencias M\u00e9dicas, Universidad Central del Ecuador, Quito, Ecuador"},{"name":"Servicio de Neumolog\u00eda, Hospital Pedi\u00e1trico Baca Ortiz, Ministerio de Salud P\u00fablica, Quito, Ecuador;\u00a0Facultad de Ciencias M\u00e9dicas, Universidad Central del Ecuador, Quito, Ecuador"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2825-2950","authenticated-orcid":false,"given":"Mariella","family":"Anselmi","sequence":"additional","affiliation":[{"name":"Centro de Epidemiolog\u00eda Comunitaria y Medicina Tropical, Esmeraldas, Ecuador"},{"name":"Centro de Epidemiolog\u00eda Comunitaria y Medicina Tropical, Esmeraldas, Ecuador"}]}],"member":"4444","published-online":{"date-parts":[[2025,3,28]]},"reference":[{"key":"144555","unstructured":"1. World Health Organization. Foodborne parasitic infections Paragonimiasis (lunk flake). Fecha de consulta: 26 de febrero del 2024. Disponible en: https:\/\/iris.who.int\/bitstream\/handle\/10665\/341881\/WHO-UCN-NTD-VVE-2021.5-eng.pdf?sequence=1"},{"key":"144556","doi-asserted-by":"crossref","unstructured":"2. Donato-Rond\u00f3n A, Donato-Rond\u00f3n J. Pulmonary, liver, and cerebral paragonimiasis: An unusual clinical case in Colombia. Travel Med Infect Dis. 2022;46:102253. https:\/\/doi.org\/10.1016\/j.tmaid.2021.102253","DOI":"10.1016\/j.tmaid.2021.102253"},{"key":"144557","doi-asserted-by":"crossref","unstructured":"3. Calvopi\u00f1a M, Romero D, Casta\u00f1eda B, Hashiguchi Y, Sugiyama H. Current status of Paragonimus and paragonimiasis in Ecuador. Mem Inst Oswaldo Cruz. 2014;109:849-55. https:\/\/doi.org\/10.1590\/0074-0276140042","DOI":"10.1590\/0074-0276140042"},{"key":"144558","doi-asserted-by":"crossref","unstructured":"4. D\u00edaz JCN, Anselmi M, Calvopi\u00f1a M, Vera MEP, Cabrera YLC, Perlaza JJ, et al. Pulmonary paragonimiasis in native community, Esmeraldas Province, Ecuador, 2022. Emerg Infect Dis. 2022;28:2114-6. https:\/\/doi.org\/10.3201\/eid2810.220927","DOI":"10.3201\/eid2810.220927"},{"key":"144559","unstructured":"5. Heinert JF. Paragonimiasis pulmonar. Anales de la Sociedad M\u00e9dico-Quir\u00fargica del Guayas. 1922;2:43-51."},{"key":"144560","unstructured":"6. Amunarriz M. Intermediate hosts of Paragonimus in the eastern Amazonic region of Ecuador. Trop Med Parasitol. 1991;42:164-6."},{"key":"144561","doi-asserted-by":"crossref","unstructured":"7. Calvopi\u00f1a M, Guderian RH, Paredes W, Cooper PJ. Comparison of two single-day regimens of triclabendazole for the treatment of human pulmonary paragonimiasis. Trans R Soc Trop Med Hyg. 2003;97:451-4. https:\/\/doi.org\/10.1016\/s0035-9203(03)90088-5","DOI":"10.1016\/S0035-9203(03)90088-5"},{"key":"144562","doi-asserted-by":"crossref","unstructured":"8. Nakamura-Uchiyama F, Mukae H, Nawa Y. Paragonimiasis: A Japanese perspective. Clin Chest Med. 2002;23:409-20. https:\/\/doi.org\/10.1016\/s0272-5231(01)00006-5","DOI":"10.1016\/S0272-5231(01)00006-5"},{"key":"144563","doi-asserted-by":"crossref","unstructured":"9. Richter J. Current status of the treatment of paragonimiasis. One Health Implement Res. 2022;2:96-107. https:\/\/doi.org\/10.20517\/ohir.2022.10","DOI":"10.20517\/ohir.2022.10"},{"key":"144564","doi-asserted-by":"crossref","unstructured":"10. Calvopi\u00f1a M, Romero-\u00c1lvarez D, Macias R, Sugiyama H. Severe pleuropulmonary paragonimiasis caused by Paragonimus mexicanus treated as tuberculosis in Ecuador. Am J Trop Med Hyg. 2017;96:97-9. https:\/\/doi.org\/10.4269\/ajtmh.16-0351","DOI":"10.4269\/ajtmh.16-0351"},{"key":"144565","doi-asserted-by":"crossref","unstructured":"11. Hanprom J, Lapphra K, Tontiwattanasap W, Papwijitsil R, Copeland K, Chokephaibulkit K. Case report: Reemerging paragonimiasis in Umphang District, Thailand. Am J Trop Med Hyg. 2023;108:738-43. https:\/\/doi.org\/10.4269\/ajtmh.22-0708","DOI":"10.4269\/ajtmh.22-0708"},{"key":"144566","unstructured":"12. Ministerio de Salud P\u00fablica. Egresos hospitalarios. Fecha de consulta: 10 de marzo del 2024. Disponible en: https:\/\/app.powerbi.com\/view?r=eyJrIjoiMmQ2Njk1NDEtY2IyYS00MmFiLTgxZGUtODM4MTM3ZDY3YjAwIiwidCI6IjcwNjIyMGRiLTliMjktNGU5MS1hODI1LTI1NmIwNmQyNjlmMyJ9"},{"key":"144567","unstructured":"13. Pe\u00f1afiel W, Davalos R, Coloma M. Paragonimiasis pulmonar. Revisi\u00f3n cl\u00ednica de 92 casos. Revista de la Facultad de Ciencias M\u00e9dicas (Quito). 1981;6:253-61."},{"key":"144568","unstructured":"14. Ministerio de Salud P\u00fablica. Cuadro nacional de medicamentos b\u00e1sicos y registro terap\u00e9utico. Quito: Publiasesores C\u00eda. Ltda.; 2014. p. 1-894."},{"key":"144569","doi-asserted-by":"crossref","unstructured":"15. Tsanglao WR, Jamir S. Pulmonary paragonimiasis in a child with chronic recurrent wet cough. Lancet Infect Dis. 2023;23:e454. https:\/\/doi.org\/10.1016\/S1473-3099(23)00273-6","DOI":"10.1016\/S1473-3099(23)00273-6"},{"key":"144570","doi-asserted-by":"crossref","unstructured":"16. Qian M, Li F, Zhang Y, Qiao Z, Shi Y, Shen J. A retrospective clinical analysis of pediatric paragonimiasis in a Chinese children\u2019s hospital from 2011 to 2019. Sci Rep. 2021;11:2005. https:\/\/doi.org\/10.1038\/s41598-021-81694-7","DOI":"10.1038\/s41598-021-81694-7"},{"key":"144571","unstructured":"17. World Health Organization. Control of neglected tropical diseases. Fecha de consulta: 10 de marzo del 2024. 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