Gutierrez Y
Hum Pathol. 1984 Jun;15(6):514-25. doi: 10.1016/s0046-8177(84)80004-0.
The diagnostic features in tissue sections from patients with zoonotic filarial infections are reviewed. In general, two types of infections are recognized: 1) those presenting radiologically in healthy patients as coin lesions, which are usually removed because a clinical diagnosis of carcinoma of the lung is made and infarcts containing Dirofilaria immitis parasites in pulmonary arteries are found; and 2) those presenting as subcutaneous nodules, in which D. tenuis, a parasite from raccoons, D. repens, from dogs and cats, D. ursi , from bears, and Onchocerca spp, from horses or cattle, require delineation. Moreover, nodules that on microscopic examination are seen to be lymph nodes may harbor Brugia spp. The geographic distribution of these infections, with emphasis on the United States, is discussed.
本文综述了人兽共患丝虫感染患者组织切片中的诊断特征。一般来说，可识别出两种类型的感染：1）在影像学上表现为健康患者肺部的硬币状病变，通常因临床诊断为肺癌而切除，随后在肺动脉中发现含有犬恶丝虫寄生虫的梗死灶；2）表现为皮下结节的感染，其中来自浣熊的犬恶丝虫、来自狗和猫的匐行恶丝虫、来自熊的熊恶丝虫以及来自马或牛的盘尾丝虫属需要鉴别。此外，显微镜检查显示为淋巴结的结节可能含有布鲁线虫属。本文还讨论了这些感染的地理分布，重点是美国。
