Lee K J, Park G M, Yong T S, Im K, Jung S H, Jeong N Y, Lee W Y, Yong S J, Shin K C
Department of Parasitology, Yonsei University Wonju College of Medicine, Wonju, Kangwon, Korea.
Yonsei Med J. 2000 Apr;41(2):285-8. doi: 10.3349/ymj.2000.41.2.285.
Human pulmonary dirofilariasis has been documented from many parts of the world, but not in Korea so far. We experienced a patient of pulmonary dirofilariasis who had visited a local clinic because of chest pain for 1 month. On chest radiograph, a coin lesion of 2 cm diameter and enlargement of the mediastinal lymph node were shown. An exploratory lung resection was done. Pathologically the lesion was a pulmonary dirofilariasis complicated with necrotic pneumonia, fibrosis, and infarction. At the center of the lesion, degenerated nematode sections with multilayered cuticle, thick musculature, and bilateral internal ridges on each side were found, which was identified to be Dirofilaria immitis. This is the first report of human pulmonary dirofilariasis in Korea.
人体肺丝虫病在世界许多地区都有记录，但韩国迄今尚未发现。我们接诊了一名肺丝虫病患者，该患者因胸痛1个月前往当地诊所就诊。胸部X光片显示有一个直径2厘米的硬币状病灶以及纵隔淋巴结肿大。遂进行了 exploratory lung resection（此处原文有误，推测可能是“肺探查切除术”）。病理检查显示，该病灶为肺丝虫病，并发坏死性肺炎、纤维化和梗死。在病灶中心发现了退化的线虫切片，其具有多层角质层、厚实的肌肉组织以及两侧的双侧内部嵴，经鉴定为犬恶丝虫。这是韩国首例人体肺丝虫病报告。
