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)  
       

 

  At the periphery of necrotic lesion, a few ova, about 60 μm in length, are identified (HE, higher power). Ova are also seen in the subarachnoid space.