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皮下结节的一个意外病因：恶丝虫感染病例报告

An unexpected cause of a subcutaneous nodule: a case report of dirofilaria infection.

作者信息

Cheung Bruno Man-Hon, Huang Yi-Lan, Lin Yie-Wen, Chang Yung-Sen, Liu Shian-Min

机构信息

Division of Infectious Diseases, Department of Internal Medicine, Tainan Municipal Hospital, No. 670, Chung Te Road, Tainan 701, Taiwan.

出版信息

Case Rep Infect Dis. 2012;2012:191245. doi: 10.1155/2012/191245. Epub 2012 Jan 15.

DOI:10.1155/2012/191245
PMID:22567487
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3336242/
Abstract

Humans are not natural hosts of Dirofilaria; however, pulmonary or subcutaneous infections may occur through mosquitoes transmission. Patients presenting with simple subcutaneous nodules may not seek early medical attention, and hence systemic involvement through hematogenous spread may occur. Definitive diagnosis of Dirofilaria infection is made by histopathological examinations of the infected tissues. We report a patient with an incidental diagnosis of Dirofilaria infection confirmed by histopathological findings of a subcutaneous nodule on the right thigh. The source of infection remains unknown.

摘要

人类并非恶丝虫的天然宿主；然而，肺部或皮下感染可能通过蚊子传播而发生。表现为单纯皮下结节的患者可能不会尽早寻求医疗关注，因此可能会通过血行播散发生全身感染。恶丝虫感染的确诊通过对感染组织进行组织病理学检查来确定。我们报告了一例患者，其右大腿皮下结节的组织病理学检查结果证实了偶然诊断的恶丝虫感染。感染源仍不清楚。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6477/3336242/13c9e393635a/CRIM.ID2012-191245.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6477/3336242/9e7e09bde5f1/CRIM.ID2012-191245.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6477/3336242/4bbcc7ddc710/CRIM.ID2012-191245.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6477/3336242/13c9e393635a/CRIM.ID2012-191245.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6477/3336242/9e7e09bde5f1/CRIM.ID2012-191245.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6477/3336242/4bbcc7ddc710/CRIM.ID2012-191245.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6477/3336242/13c9e393635a/CRIM.ID2012-191245.003.jpg

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本文引用的文献

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Subcutaneous human dirofilariasis due to dirofilaria repens: report of two cases.由匐行恶丝虫引起的皮下人类恶丝虫病：两例报告。
J Glob Infect Dis. 2011 Apr;3(2):199-201. doi: 10.4103/0974-777X.81702.
2
Human subcutaneous dirofilariasis in India: a report of three cases with brief review of literature.印度人体皮下恶丝虫病：三例报告并文献简要回顾
Indian J Med Microbiol. 2010 Oct-Dec;28(4):394-6. doi: 10.4103/0255-0857.71836.
3
Three new cases of human infection with Dirofilaria repens, one pulmonary and two subcutaneous, in the Egyptian governorate of Assiut.
在埃及艾斯尤特省出现3例新的人体感染匐行恶丝虫病例，其中1例为肺部感染，2例为皮下感染。
Ann Trop Med Parasitol. 2008 Sep;102(6):499-507. doi: 10.1179/136485908X300904.
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Human subcutaneous dirofilariasis, Russia.俄罗斯的人体皮下丝虫病。
Emerg Infect Dis. 2007 Jan;13(1):150-2. doi: 10.3201/eid1301.060920.
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Subcutaneous dirofilariasis caused by Dirofilaria immitis mimicking a large epidermal cyst.
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Human subcutaneous dirofilariasis: a report of three cases manifesting as breast or axillary nodules.人体皮下恶丝虫病：三例表现为乳房或腋窝结节的病例报告。
Scott Med J. 2002 Aug;47(4):86-8. doi: 10.1177/003693300204700404.
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Subconjunctival infection with Dirofilaria repens.结膜下罗阿丝虫感染。
Jpn J Infect Dis. 2002 Apr;55(2):47-8.