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Related Experiment Videos

Human pulmonary dirofilariasis: does diagnosis require thoracotomy?

A G Fleisher1, J J Messina, S F Ryan

  • 1Department of Cardiothoracic Surgery, St. Luke's Roosevelt Hospital Center, New York, NY 10025.

The Annals of Thoracic Surgery
|April 1, 1988
PubMed
Summary

The incidence of pulmonary coin lesions caused by Dirofilaria immitis (dog heartworm) is rising. This case report discusses human pulmonary dirofilariasis, its development, and diagnostic challenges.

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Area of Science:

  • Veterinary Pathology
  • Human Infectious Diseases
  • Parasitology

Background:

  • Pulmonary dirofilariasis, caused by Dirofilaria immitis, is an emerging zoonotic disease.
  • The incidence of pulmonary coin lesions from dog heartworm infection in humans is increasing.
  • Understanding the pathogenesis and diagnostic limitations is crucial for patient management.

Observation:

  • A case of human pulmonary dirofilariasis presenting as a coin lesion is described.
  • The lesion was initially detected through imaging studies.
  • The case highlights the challenges in preoperative diagnosis of this parasitic infection.

Findings:

  • Dirofilaria immitis larvae can cause pulmonary nodules in humans.
  • Preoperative diagnostic tests may not definitively identify pulmonary dirofilariasis.

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  • Surgical resection is often required for definitive diagnosis and treatment.
  • Implications:

    • Increased awareness of pulmonary dirofilariasis is needed among clinicians.
    • Further research into non-invasive diagnostic methods for human dirofilariasis is warranted.
    • Public health initiatives may be necessary to control Dirofilaria immitis in canine populations.