Case 131. Paragonimus miyazakii infection of brain (36 y-o M)

       
  Biopsy from the necrotizing brain lesion in a patient who ate Japanese freshwater crab (Geothelphusa dehaani)  
       

 

  The necrotic brain parenchymal lesion is presented (HE, low power). In spite of multiple step sectioning, no adult worm was identified.