Tsung S H, Lin J I, Han D
Am J Med Sci. 1982 Mar-Apr;283(2):106-10. doi: 10.1097/00000441-198203000-00010.
A case of pulmonary dirofilariasis in a 69-year-old woman is presented. A review of the literature revealed 56 documented cases. As in most cases of pulmonary dirofilariasis, our patient presented roentgenologically a single noncalcified coin lesion and required thoracotomy for diagnosis. The gross and histologic characteristics of the lesion, the life cycle of the parasite, the subcutaneous form of human dirofilariasis, and the possible role of the immunologic tests in establishing the diagnosis are briefly discussed. The incidence of pulmonary dirofilariasis appears to be increasing. Awareness that such entity exists is important since correct preoperative diagnosis can alleviate unnecessary surgical intervention.
本文报告了一例69岁女性的肺丝虫病病例。文献回顾显示有56例记录在案的病例。与大多数肺丝虫病病例一样，我们的患者在X线检查中表现为单个非钙化的硬币状病变，需要进行开胸手术以明确诊断。文中简要讨论了病变的大体和组织学特征、寄生虫的生命周期、人体丝虫病的皮下形式以及免疫检测在确诊中的可能作用。肺丝虫病的发病率似乎在上升。认识到这种疾病的存在很重要，因为正确的术前诊断可以避免不必要的手术干预。
