胸膜炎是多流的原因 - 一个案例报告
Dora Darapi Marušić1, Ivona Markelić1, Vesna Trkeš1
1Clinic for Respiratory Diseases "Jordanovac", University Hospital Centre Zagreb, Zagreb, Croatia.
Lung India : official organ of Indian Chest Society
|December 31, 2025
概括
这份病例报告详细介绍了一种罕见的dirofilariasis病例,导致eosinophilic膜溢出. 通过手术去除寄生虫的Dirofilaria spp. 感染导致完全康复.
科学领域:
- 寄生虫学的寄生虫学
- 肺部病理学 肺部病理学
- 传染性疾病 传染性疾病
背景情况:
- 埃索诺菲尔性外流往往是异常的或与恶性瘤或感染等常见原因有关.
- 脊髓灰质炎是一种寄生虫感染,通常影响动物,是人类疾病的不常见原因.
- 这种病例在人类中呈现出一种罕见的迪罗菲拉里病的表现.
研究的目的:
- 报告一种非常罕见的人类胆固醇病的病例,呈现为异性多流液.
- 强调考虑寄生虫感染在无法解释的多发性溢液的差异诊断中的重要性.
主要方法:
- 一名44岁的男性出现胸部疼痛和咳,导致成像和胸腔切开.
- 诊断程序包括胸部CT,胸腔切口,支气管镜和微生物培养.
- 通过视频辅助胸腔镜手术 (VATS) 进行了膜损伤的外科切除.
主要成果:
- 胸腔切口检查显示出一种埃索诺菲尔性肺溢液.
- 对切除的肺部病变的组织学分析证实了Dirofilaria spp.的感染.
- 微生物学培养和支气管镜检查没有什么显著的结果.
结论:
- 应该考虑dirofilariasis在微分诊断eosinophilic的多叶膜溢出,特别是在非典型的表现.
- 完全切除寄生虫的手术是这种罕见疾病的治疗方法.
- 这一案例强调了在具有挑战性的多叶流血病例中需要广泛的诊断方法.
相关概念视频
Pleura of the Lungs
11.0K
The lungs are nestled in a cavity, shielded by the pleura. The pleura, a form of serous membrane, wraps around each lung. This membrane arrangement consists of two layers: the visceral and parietal pleurae. The visceral pleura lines the surface of the lungIn contrast, the parietal pleura is the outer layer and contacts to the thoracic wall, the mediastinum, and the diaphragm. The hilum is the point of connection between the visceral and parietal layers. The space between the parietal and...
11.0K
Pleural Disorders: Types and Brief Description
1.1K
The pleura is a vital part of the respiratory system. It's a double-layered membrane surrounding the lungs and lining the chest cavity. The two layers of the pleura are:
1.1K
Pleural Effusion I: Introduction
6.3K
Pleural effusion is an abnormal fluid accumulation in the pleural cavity, a narrow space between the lungs and the chest wall. It is not a disease per se but rather a symptom or indication of an underlying disease. In normal circumstances, this space contains a small amount of fluid (5 to 15 mL), a lubricant facilitating the non-frictional movement of the pleural surfaces.
There are two main types of pleural effusion: transudative and exudative. They are differentiated using Light's...
There are two main types of pleural effusion: transudative and exudative. They are differentiated using Light's...
6.3K
Pleural Effusion II: Symptoms and Management
1.4K
Pleural Effusion Overview
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
1.4K
Rheumatic Heart Disease I: Introduction
1.0K
Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
1.0K
Ascites
47
DefinitionAscites is the buildup of fluid inside the peritoneal cavity. It occurs when fluid moves out of the vascular system faster than the peritoneal lymphatics can remove it. This fluid shift is most commonly seen in liver cirrhosis but can also appear in several other systemic disorders.EtiologyCirrhosis remains the leading cause of ascites. Other conditions that can contribute include:Heart failureConstrictive pericarditisAbdominal cancersNephrotic syndromeSevere protein–calorie...
47


