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以孤立性胸腔积液为表现的丝虫病:一例报告及简要综述

Filariasis presenting as isolated pleural effusion: A case report and mini review.

作者信息

Aggarwal Phiza, Subramanian Saravanan, Saini Varinder, Aggarwal Deepak

机构信息

Assistant Professor, Department of Pathology, Government Medical College & Hospital, Chandigarh, India.

Junior Resident, Department of Pulmonary Medicine, Government Medical College & Hospital, Chandigarh, India.

出版信息

Trop Doct. 2021 Jan;51(1):111-114. doi: 10.1177/0049475520964399. Epub 2020 Oct 27.

Abstract

Isolated pleural effusion is a rare manifestation of filariasis that mimics tuberculosis, especially in endemic regions. We describe a case of lymphocytic and exudative pleural effusion showing microfilaria on pleural fluid cytology. A retrospective review of all cases of filarial pleural effusion reported after 2000 was conducted to evaluate the association between filariasis and pleural effusion as well as to screen the features that can help in accurate detection of these patients. The analysis suggested a causal association between the parasite and the development of pleural effusion with a high sensitivity of pleural fluid cytology for diagnosis.

摘要

孤立性胸腔积液是丝虫病的一种罕见表现,易与结核病混淆,在流行地区尤为如此。我们报告一例淋巴细胞性渗出性胸腔积液病例,其胸腔积液细胞学检查显示有微丝蚴。对2000年后报告的所有丝虫性胸腔积液病例进行了回顾性分析,以评估丝虫病与胸腔积液之间的关联,并筛选有助于准确诊断这些患者的特征。分析表明寄生虫与胸腔积液的发生之间存在因果关系,胸腔积液细胞学检查对诊断具有较高的敏感性。

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