A Case of Human Pulmonary Dirofilariasis in a 48-Year-Old Korean Man

作者:Kang Hyo Jae; Park Young Sik; Lee Chang Hoon; Lee Sang Min; Yim Jae Joon; Yoo Chul Gyu; Kim Young Whan; Han Sung Koo; Chai Jong Yil; Lee Jinwoo*
来源:Korean Journal of Parasitology, 2013, 51(5): 569-572.
DOI:10.3347/kjp.2013.51.5.569

摘要

Dirofilariasis is a rare disease in humans. We report here a case of a 48-year-old male who was diagnosed with pulmonary dirofilariasis in Korea. On chest radiographs, a coin lesion of 1 cm in diameter was shown. Although it looked like a benign inflammatory nodule, malignancy could not be excluded. So, the nodule was resected by video-assisted thoracic surgery. Pathologically, chronic granulomatous inflammation composed of coagulation necrosis with rim of fibrous tissues and granulations was seen. In the center of the necrotic nodules, a degenerating parasitic organism was found. The parasite had prominent internal cuticular ridges and thick cuticle, a well-developed muscle layer, an intestinal tube, and uterine tubules. The parasite was diagnosed as an immature female worm of Dirofilaria immitis. This is the second reported case of human pulmonary dirofilariasis in Korea.

  • 出版日期2013-10