Pampiglione S, Canestri Trotti G, Rivasi F
Cattedra di Parassitologia, Facoltà di Medicina Veterinaria, Università di Bologna, Italie.
Ann Parasitol Hum Comp. 1991;66(5):195-203. doi: 10.1051/parasite/1991665195.
Since 1971, at the Laboratory of Parasitology, Faculty of Veterinary Medicine, University of Bologna, 30 cases of human dirofilariasis were observed out of the 101 cases reported in Italy. The causative agent was identified in nearly all the cases as Dirofilaria repens (Nematoda, Filarioidea) a parasite relatively common in the dog in Italy. 23 cases were localized in the subcutaneous tissue, 4 in the submucosa and 3 in the lungs. In the majority of the cases the diagnosis had been misinterpreted, the lesions being first seen as malignant or benign tumours or foreign-body granuloma. The parasite was histologically recognized. In 3 cases the parasite could be extracted intact from the nodule. The authors believe that human dirofilariasis is more frequent than reported by the relevant scientific literature in that many cases are likely to recover spontaneously while others would remain undetected.
自1971年以来,在博洛尼亚大学兽医学院寄生虫学实验室,从意大利报告的101例人体恶丝虫病病例中观察到30例。几乎在所有病例中,病原体均被鉴定为匐行恶丝虫(线虫纲,丝虫总科),这是一种在意大利犬类中相对常见的寄生虫。23例病变位于皮下组织,4例位于黏膜下层,3例位于肺部。在大多数病例中,诊断被误诊,病变最初被视为恶性或良性肿瘤或异物肉芽肿。通过组织学方法识别出了寄生虫。在3例病例中,可以从结节中完整取出寄生虫。作者认为,人体恶丝虫病比相关科学文献报道的更为常见,因为许多病例可能会自行康复,而其他病例则可能未被发现。