Mumtaz Hamid, Ozdemir Aytekin, Schaefer Robert C
Division of Cardiothoracic Surgery, University of Arkansas for Medical Sciences, Little Rock, USA.
J Ark Med Soc. 2004 Jan;100(7):240-2.
Our patient, a resident of Arkansas, presented with a solitary pulmonary nodule for lung resection to rule out primary lung cancer. However, pathologic examination showed the lung nodule to be a granuloma secondary to dirofilariasis. Human pulmonary dirofilariasis is a rare zoonotic disease caused by Dirofilariasis immitis (dog heartworm) that is usually transmitted from dogs to human by mosquito bite. To our knowledge, human pulmonary dirofilariasis has previously not been reported in Arkansas. In addition, awareness of this entity in the appropriate clinical and epidemiologic setting is important in the differential diagnosis of solitary pulmonary nodules.
我们的患者是阿肯色州的居民，因肺部有一个孤立性结节而接受肺切除术，以排除原发性肺癌。然而，病理检查显示该肺结节是由犬恶丝虫病继发的肉芽肿。人类肺恶丝虫病是一种由犬恶丝虫（犬心丝虫）引起的罕见人畜共患病，通常通过蚊虫叮咬从狗传播给人类。据我们所知，阿肯色州此前尚未报告过人类肺恶丝虫病。此外，在适当的临床和流行病学背景下认识到这一疾病实体，对于孤立性肺结节的鉴别诊断很重要。
