@entity281 by @entity9642 in the United States: a rare cause of XXXX after ingestion of live crabs.

@entity1 @entity1143 @entity32 @entity1712 @entity9642 @entity66 @entity39 @entity1333 @entity9757 @entity9643 @entity5930 @entity3616 @entity5641 @entity281 @entity764
Infections caused by the parasite @entity9642 are endemic to Southeast Asia. @entity281 reported in the United States are among immigrants who acquired the disease abroad. Due to the nonspecific nature of its presentation and rarity in the United States, the diagnosis may first be suggested by the pathologist on biopsy review. Definitive diagnosis may need serologic testing for confirmation. We report 4 cases of @entity66 caused by United States-acquired @entity9642 , which were identified in the consultation files of the authors. @entity1 (3 @entity1 and 1 @entity1 ; aged, 20 to 66 y) presented with pulmonary complaints and @entity764 including cavitary infiltrates (2), lung mass (1), @entity1143 (1), and pneumothorax (1). Biopsies showed @entity9757 and @entity3616 in all cases. Other pathologic findings included @entity32 with geographic @entity39 (3), @entity1333 (3), and @entity5641 (3). @entity9642 organisms and/or eggs were identified in 2 cases. Serologic studies were positive for @entity9642 in 3 cases (2 enzyme-linked immunosorbent assay and 1 immunoblot). Three @entity1 ate live crabs at sushi bars (including crabs in martinis, a previously unreported mechanism for @entity281 ). In 1 @entity1 , the source of @entity281 was uncertain. @entity9643 should be considered in the differential diagnosis of @entity1 with @entity1712 in the United States. Although @entity5930 was a consistent finding, the biopsies may be nonspecific as the organisms and/or eggs are not always visualized. Unusual features include marked @entity5641 , foci of geographic @entity39 and @entity1333 . A history of ingestion and targeted serologies are the keys to diagnosis.
