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Fatal bilateral dioctophymatosis
Gang Li1, Caigang Liu, Fang Li
1Department of Urology, Second Hospital of Tianjin Medical University, Tianjin Institute of Urology, Tianjin, 300211, China.
The Journal of Parasitology
|December 17, 2010
Summary
This case study details the rare human infection of Dioctophyma renale, a giant kidney worm, in a woman whose unspecific symptoms were only diagnosed when worms were found. The patient unfortunately succumbed to renal failure, highlighting the parasite's severe potential.
Area of Science:
- Parasitology
- Human and Animal Health
- Nephrology
Background:
- Dioctophyma renale, a giant kidney worm, is a rare zoonotic parasite with limited documented human cases.
- Understanding its clinical presentation and progression in humans is crucial for diagnosis and management.
Observation:
- A 51-year-old woman presented with unspecific clinical signs later identified as a Dioctophyma renale infection.
- Diagnosis was confirmed by the observation of giant worms in urine and subsequent histological examination.
- The patient declined treatment, leading to a fatal outcome due to bilateral renal failure.
Findings:
- This report documents the first confirmed natural progression of Dioctophyma renale infection in a human.
- Clinical and diagnostic findings were initially non-specific, emphasizing diagnostic challenges.
- The infection ultimately led to irreversible bilateral renal function failure.
Implications:
- This case highlights the critical need for increased awareness of rare parasitic infections like D. renale in clinical practice.
- It underscores the importance of considering parasitic etiologies in patients with unexplained renal symptoms.
- The study discusses a conservative therapeutic approach and features of D. renale infection, informing future management strategies.
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