Das, M and Doleckova, K and Shenoy, R and Mahanta, J and Narain, K and Devi, KR and Konyak, T and Mansoor, H and Isaakidis, P (2016) Paragonimiasis in tuberculosis patients in Nagaland, India. Glob Health Action, 9. 32387 - ?. ISSN 1654-9880

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BACKGROUND: One of the infections that mimic tuberculosis (TB) is paragonimiasis (PRG), a foodborne parasitic disease caused by lung flukes of the genusParagonimus. In the northeastern states of India, TB and PRG are endemic; however, PRG is rarely included in the differential diagnosis of TB. OBJECTIVE: To address limited evidence on the dual burden of TB and PRG in northeastern India, we aimed to document the prevalence of PRG among TB patients using sputum smear, stool examination for children <15 years and ELISA. DESIGN: A cross-sectional study of patients receiving TB treatment in the Médecins Sans Frontières (MSF)-supported TB programme in Mon district, in collaboration with the Regional Medical Research Centre (RMRC), Dibrugarh, Assam, between November 2012 and December 2013. RESULTS: Of 96 patients screened between November 2012 and December 2013, three (3%) had pulmonary PRG and were successfully treated with praziquantel. CONCLUSIONS: PRG should be considered in the TB diagnostic algorithms in PRG-TB dual burden areas. In case of TB-PRG co-infection, it is preferable to treat PRG first followed by anti-TB treatment a few days later.

Item Type: Article
Additional Information: This article is published in the journal, Global Health Action and is © 2016 Taylor & Francis. The full article can be accessed from: https://www.tandfonline.com/doi/full/10.3402/gha.v9.32387
Subjects: R Medicine > R Medicine (General)
Divisions: Faculty of Medicine and Health Sciences > Institute for Science and Technology in Medicine
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Depositing User: Symplectic
Date Deposited: 06 Mar 2018 12:44
Last Modified: 06 Mar 2018 12:44
URI: http://eprints.keele.ac.uk/id/eprint/4529

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