We encountered three cases of @entity9643 westermani caused by ingestion of Chinese freshwater crabs. All @entity1 are Chinese living in Japan who had a history of eating raw Shanghai crabs at the Chinese restaurant owned by one of them. A few months later they complained of cough, @entity662 and @entity1353 . On examination, their peripheral blood showed a remarkable increase in eosinophils. Chest radiographs revealed the presence of @entity1143 in all cases, and of pneumothorax in one. Pleural fluid obtained from two cases showed an increased number of eosinophils, an elevated LDH, and a decreased @entity413 level. @entity9642 was determined in a positive serum antibody test. The @entity1 were treated with @entity2039 for 3 days at a daily dosage of 75 mg/kg and their symptoms were relieved, but one case needed additional treatment with @entity2039 for 3 days at a daily dosage of 50 mg/kg because of sustained @entity1143 and a persistently high antibody titer. Most cases of @entity9643 found in Japan have been sporadic and individual, but three cases occurring close to each other in both distance and time have recently been reported. Such multiple @entity281 are likely to increase because of the gourmet food boom and the internationalization of eating habits. @entity9643 must be kept in mind in the differential diagnosis of cases of @entity1143 with @entity1712 . We would therefore like to emphasize the importance of the detection of parasite-specific antibodies and of careful history-taking from @entity1 .

[ XXXX westermani caused by ingestion of Chinese freshwater crabs].

@entity1 :: ('9606', 'Species') :: ['patients'] @entity1143 :: ('MESH:D010996', 'Disease') :: ['pleural effusion'] @entity662 :: ('MESH:D002637', 'Disease') :: ['chest pain'] @entity1712 :: ('MESH:D004802', 'Disease') :: ['eosinophilia'] @entity9642 :: ('34504', 'Species') :: ['Paragonimus westermani'] @entity1353 :: ('MESH:D004417', 'Disease') :: ['dyspnea'] @entity9643 :: ('MESH:D010237', 'Disease') :: ['paragonimiasis', 'Paragonimiasis'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infections'] @entity413 :: ('MESH:D005947', 'Chemical') :: ['glucose'] @entity2039 :: ('MESH:D011223', 'Chemical') :: ['praziquantel']
@entity9643 :: (MESH:D010237,Disease) :: ['Paragonimiasis']
