• Chest · Oct 2011

    Case Reports

    Chylothorax caused by Paragonimus westermani in a native Californian.

    • Robert S Wright, Marian Jean, Karen Rochelle, and David Fisk.
    • David Geffen School of Medicine at UCLA, Los Angeles, CA, USA. rwright@sblung.com
    • Chest. 2011 Oct 1;140(4):1064-6.

    AbstractParagonimiasis is a parasitic infection endemic in Asia but uncommon in the United States. It presents most frequently with cough and hemoptysis. Pleural effusions are common and can manifest occasionally as a pseudochylothorax, but a true chylothorax has, to our knowledge, never been reported. We report a case of a chylothorax from infection with Paragonimus westermani. The case is also unique because it occurred in a native Californian who had not traveled to Asia and was infected by eating raw crabs at a local sushi restaurant. The freshwater crabs had been imported from Asia.

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