Clinical manifestations of Pagumogonimus in south areas of Sichuan Province and analysis on the causes of misdiagnosis

Objective To summarize the clinical manifestations case with Pagumogonimus in south areas of Sichuan Province and to analyze the causes of misdiagnosis.Methods Forty-four cases with Pagumogonimus diagnosed in our department during 2003-2007 were collected.The clinical manifestations were summarized and the causes of misdiagnosis were analyzed.Results The clinical manisfestations differed from the different invading foci,including abdominal discomfort,anozexia,weakness,subeutaneous lumps,chest pain,cough,headache,vomit,extremities dull,paralysis,short breath,abdominal pain,diarrhea etc.Out of 44 cases 38 were initially misdiagnosed before being admitted to our hospital,among them 9 cases were misdi agnosed as tuberculosis pleurisy,2 as pneumonia,3 as pulmonary tuberculosis,7 as brain occupying diseases,2 as epilepsy,2 as septicemia,2 as tuberculosis pericarditis,1 as suppurate periearditis,1 as liver abscess,1 as bronchiectasis,7 as subcutaneous tumor and 1 as testis tumor.Conclusion Cases with Pagumogonimus in south areas of Sichuan Province is a frequently misdiagnosed disease due to the complexity of clinical mani festations and the lack of specific symptoms.The misdiagnosing causes are similar to previous reports from ours and others. Key words: Pagumogonimas; Clinical manifestation; Misdiagnosis; South areas of Sichuan Province