PARAGONIMUS 23 



amount of bronchitis, so that thick, tenacious mucus, 

 sometimes streaked or tinged with blood, is expectorated. 

 The symptoms, particularly when there is any acute 

 pulmonary exacerbation, may easily be mistaken for 

 pulmonary tuberculosis. The diagnosis is readily made 

 by examining the sputum for eggs. Although the pul- 

 monary symptoms are the ones that attract attention, so 

 much so, that the disease is often called endemic hcenio- 





FIG. 9. Paragonimus westermani. (After Looss.) 



ptysis, the infection is not always limited to the lungs. 

 Parasites have been found in various parts of the 

 body, including the kidneys, intestine, brain, and 

 occasionally cause the formation of large abscesses. 



Treatment. The treatment of the endemic haemoptysis 

 is symptomatic, and in the majority of cases the prognosis 

 is good and little serious trouble results. When the 

 haemoptysis is profuse absolute rest is necessary. The 

 associated bronchitis should be treated in the ordinary 

 manner. 



