Langer H E, Bialek R, Mielke H, Klose J
Klin Wochenschr. 1987 Aug 3;65(15):746-51. doi: 10.1007/BF01736812.
A 43-year-old German man suffered from an insect bite, which was followed by a severe local inflammation and lymphadenitis. A year later, he developed dry cough, chest pain, and an oligoarthritis of the ankle and knee joints. While other causes of the symptoms could be excluded, serologic findings suggested a dirofilarial infection with reactive arthritis due to the parasite. The observation points out, that in cases of unclassifiable mono- or oligoarthritis, reactive arthritis due to parasites should be considered in the spectrum of differential diagnoses. The disease is rare at present, but its frequency might be underestimated because of the diagnostic difficulties. Dirofilarial infection should be borne in mind after a stay abroad. The present case, however, shows, that the disease also occurs in patients who had not travelled to regions of risk in recent years.
一名43岁的德国男子被昆虫叮咬后，出现了严重的局部炎症和淋巴结炎。一年后，他出现干咳、胸痛以及踝关节和膝关节的寡关节炎。虽然可以排除其他导致这些症状的原因，但血清学检查结果提示为丝虫感染导致的反应性关节炎。该病例指出，在无法分类的单关节炎或寡关节炎病例中，寄生虫引起的反应性关节炎应纳入鉴别诊断范围。目前这种疾病较为罕见，但由于诊断困难，其发病率可能被低估。在国外停留后应考虑丝虫感染。然而，本病例表明，近年来未前往高危地区的患者也会患上这种疾病。
