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Human extrapulmonary dirofilariasis in Texas.

J P Skidmore1, P D Dooley, C DeWitt

  • 1Department of Medicine, Brooke Army Medical Center, Fort Sam Houston, Tex 78234-6200, USA.

Southern Medical Journal
|January 9, 2001
PubMed
Summary
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Extrapulmonary dirofilariasis, a rare infection by the dog heartworm Dirofilaria immitis, is highlighted by a case of asymptomatic abdominal nodules. This report expands understanding of this unusual parasitic infection beyond the lungs.

Area of Science:

  • Parasitology
  • Infectious Diseases
  • Human Pathology

Background:

  • Human infections with Dirofilaria immitis, commonly known as dog heartworm, are well-documented, primarily affecting the lungs.
  • Extrapulmonary dirofilariasis is significantly rarer, with limited documented cases globally and particularly in North America.

Observation:

  • A case of extrapulmonary dirofilariasis is presented, characterized by asymptomatic nodular lesions in the anterior abdominal wall.
  • The patient underwent exploratory laparotomy for an unrelated carcinoma, revealing the unexpected parasitic manifestation.

Findings:

  • This case represents one of the few documented instances of extrapulmonary dirofilariasis in North America.
  • The findings contribute to the understanding of the varied clinical presentations of Dirofilaria immitis infection.

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Implications:

  • The report underscores the importance of considering dirofilariasis in the differential diagnosis of unexplained nodular lesions, even in extrapulmonary sites.
  • Further research into the pathophysiology and diagnostic challenges of extrapulmonary dirofilariasis is warranted.