History: consuming raw crustaceans
• Imaging diagnosis: ultrasound, X-ray, computed tomography
(CT) or magnetic resonance imaging (MRI) scans
• Tests to rule out tuberculosis should always be conducted
• Confirmation of diagnosis
Microscopic techniques: Paragonimus eggs in sputum or stool
samples
Immunological techniques: detect worm-specific antibodies or worm-
specific antigens in serum or stool samples