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Human pulmonary dirofilariasis.

T Bloch1, T Glynn, M Hinshaw

  • 1Department of Pathology, Humana Women's Hospital, Indianapolis, IN.

Indiana Medicine : the Journal of the Indiana State Medical Association
|January 1, 1990
PubMed
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Human pulmonary dirofilariasis, a parasitic lung infection, can mimic other conditions. It should be considered in the diagnosis of pulmonary coin lesions near the pleura, particularly when a pulmonary infarct is present.

Area of Science:

  • Veterinary Medicine
  • Human Pathology
  • Parasitology

Background:

  • Pulmonary coin lesions are common radiographic findings requiring differential diagnosis.
  • Dirofilariasis is a parasitic disease typically affecting animals, but human cases occur.
  • Pulmonary involvement in human dirofilariasis is rare but recognized.

Purpose of the Study:

  • To report a case of human pulmonary dirofilariasis.
  • To highlight the importance of considering dirofilariasis in the differential diagnosis of pulmonary coin lesions.
  • To describe characteristic findings in tissue sections.

Main Methods:

  • Case report presentation.
  • Review of clinical and pathological findings.
  • Histopathological examination of lung tissue.

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Main Results:

  • A case of human pulmonary dirofilariasis was identified.
  • The lesion presented as a pulmonary coin lesion adjacent to the pleura.
  • Histopathology revealed features consistent with a pulmonary infarct.

Conclusions:

  • Human pulmonary dirofilariasis is an important consideration in the differential diagnosis of pulmonary coin lesions.
  • Radiographic and histopathological findings can suggest this diagnosis.
  • Awareness among clinicians and pathologists is crucial for accurate diagnosis.