Case Report
An acute presentation of paragonimiasis within masseteric muscle in emergency department
Asaad S. Shujaa
Assistant MD, FRCPC.FAAEM, Professor and Senior Consultant, Weill Corneal Medical College, Hamad Medical Corporation, Emergency Department, Doha, Qatar.


Address correspondence to:
Asaad Suliman Shujaa
Assistant Professor and Senior Consultant, Weill Corneal Medical College
Hamad Medical Corporation, Emergency Department

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How to cite this article
Shujaa AS. An acute presentation of paragonimiasis within masseteric muscle in emergency department. Int J Case Rep Images 2016;7(2):115–117.

Introduction: Paragonimiasis is parasitic food borne disease which can affect the lungs (lung fluke). It is caused by Paragonimus westermani which is transmitted via ingestion of raw or undercooked crab or crayfish. Paragonimiasis can affect the exrapulmonary organs inclute striated muscles.
Case Report: Our case is unique in that affected masseteric muscle. In our case, the worms reached to masseteric muscle which lead to rupture the cyst and inflammatory reaction present like allergic reaction. The intial treatment was given as allergic reaction then we discovered the worm in cyst in masseteric muscle by ultrasound, which change our management and established the diagnosis as paragonimiasis by ELISA test.
Conclusion: Paragonimiasis is rare in masseteric muscle.

Keywords: Emergency, Medicine, Paragonimiasis, Parasitic infection

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Author Contributions
Asaad S. Shujaa – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
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The corresponding author is the guarantor of submission.
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Conflict of interest
Authors declare no conflict of interest.
© 2016 Asaad S. Shujaa. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.