<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0375-0760</journal-id>
<journal-title><![CDATA[Revista Cubana de Medicina Tropical]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Med Trop]]></abbrev-journal-title>
<issn>0375-0760</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0375-07602021000300018</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Derrame pleural por paragonimiasis pulmonar en la Región Amazónica del Ecuador]]></article-title>
<article-title xml:lang="en"><![CDATA[Pleural effusion due to pulmonary paragonimiasis in the Amazon Region of Ecuador]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Calvopina]]></surname>
<given-names><![CDATA[Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chávez-Rios]]></surname>
<given-names><![CDATA[Gilson]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Khan]]></surname>
<given-names><![CDATA[Aisha]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Diaz-Najul]]></surname>
<given-names><![CDATA[Carmen Emilia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de las Américas (UDLA) Facultad de Ciencias de la Salud ]]></institution>
<addr-line><![CDATA[ Quito]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Ministerio de Salud Pública Hospital &#8220;José María Velasco Ibarra&#8221; Servicio de Medicina Interna]]></institution>
<addr-line><![CDATA[ Tena]]></addr-line>
<country>Ecuador</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>73</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0375-07602021000300018&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0375-07602021000300018&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0375-07602021000300018&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La paragonimiasis pulmonar es una trematodiasis tropical poco común, causada por Paragonimus spp. Se adquiere por la ingestión de cangrejos de agua dulce, que puede provocar sintomatología respiratoria con tos crónica y expectoración herrumbrosa. El derrame pleural es una complicación rara con disnea y dificultad respiratoria.  Objetivo:  describir un caso con derrame pleural bilateral por infección de Paragonimus spp.  Caso clínico:  Mujer indígena Kichwa de 51 años, de la Amazonía del Ecuador, hospitalizada por dificultad respiratoria y disnea progresiva, con tos y expectoración hemoptoica. En radiografía y tomografía axial computarizada de tórax, se observa derrame pleural bilateral y en esputo se visualizan al microscopio huevos de Paragonimus spp. Se administró praziquantel 1 800 mg/día por 3 días. Al quinto día es dada de alta y a los 45 días existe resolución del cuadro respiratorio y del derrame pleural.  Conclusiones:  Considerar la búsqueda de huevos del parásito en esputo y/o líquido pleural en pacientes con sintomatología respiratoria y derrame pleural, incluso en migrantes de países endémicos, para un diagnóstico temprano y tratamiento oportuno.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Pulmonary paragonimiasis is an uncommon tropical trematode infection caused by Paragonimus spp. Acquired through the intake of freshwater crabs, this condition is characterized by respiratory symptoms such as chronic coughing and rusty expectoration. Pleural effusion is a rare complication accompanied by dyspnea and difficulty breathing.  Objective:  Describe a case of bilateral pleural effusion due to Paragonimus spp. infection.  Clinical case:  A female 51-year-old indigenous Kichwa woman was admitted for difficulty breathing and progressive dyspnea, coughing and hemoptoic expectoration. Chest radiography and computed axial tomography showed bilateral pleural effusion, whereas Paragonimus spp. eggs were visible in sputum samples under the microscope. Praziquantel 1 800 mg/day was administered for three days. The patient was discharged on the fifth day and at 45 days the respiratory picture and the pleural effusion were found to have resolved.  Conclusions:  Consideration should be given to the search for eggs of the parasite in sputum and/or pleural fluid of patients with respiratory symptoms and pleural effusion, even if they are migrants from endemic countries, with a view to an early diagnosis and timely treatment.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[paragonimiasis pulmonar]]></kwd>
<kwd lng="es"><![CDATA[Paragonimus]]></kwd>
<kwd lng="es"><![CDATA[reporte de caso]]></kwd>
<kwd lng="es"><![CDATA[praziquantel]]></kwd>
<kwd lng="es"><![CDATA[Ecuador]]></kwd>
<kwd lng="en"><![CDATA[pulmonary paragonimiasis]]></kwd>
<kwd lng="en"><![CDATA[Paragonimus]]></kwd>
<kwd lng="en"><![CDATA[case report]]></kwd>
<kwd lng="en"><![CDATA[praziquantel]]></kwd>
<kwd lng="en"><![CDATA[Ecuador]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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