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Eggs of P. kellicotti in a Pap-stained bronchial alveolar lavage (BAL) specimen at 400x magnification. Images courtesy of Dr. Gary Procop.

Eggs of P. kellicotti in a Pap-stained bronchial alveolar lavage (BAL) specimen at 400x magnification. Images courtesy of Dr. Gary Procop.

Paragonimiasis is an acute infection with cough, abdominal pain, discomfort, and low-grade fever that may occur 2 to15 days after infection. Persons with light infections may have no symptoms. Symptoms of long-term infection may mimic bronchitis or tuberculosis, with coughing up of blood-tinged sputum.

 
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