A CASE OF HUMANPULMONARY DIROFILARIASIS PRESENTING MULTIPLE NODULUS WITH CAVITIES
| Autor: | Masashi Kobayashi, Hidemi Owada, Makoto Suzuki, Masayuki Baba, Yoshiyuki Takahashi, Kenzo Hiroshima, Yukio Saito, Akihiko Yano, Takehiko Fujisawa, Yutaka Yamaguchi |
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| Rok vydání: | 1998 |
| Předmět: |
Pathology
medicine.medical_specialty Diagnostic methods Lung genetic structures medicine.diagnostic_test biology Pulmonary Infarction business.industry Dirofilaria immitis medicine.disease biology.organism_classification medicine.anatomical_structure Bronchoscopy Dirofilariasis medicine Lung cancer business Right upper lung field |
| Zdroj: | Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association). 59:674-677 |
| ISSN: | 1882-5133 1345-2843 |
| DOI: | 10.3919/jjsa.59.674 |
| Popis: | A 68-year-old man who was pointed out a tumor shadow with cavities in the right upper lung field on a medical checkup was admitted to the hospital. On admission a chest X-ray film and CT visualized multiple nodulus in the right upper lobe. Although no definite diagnosis was achieved by various diagnostic methods including bronchoscopy, a lobectomy was performed because a possibility of lung cancer was not ruled out and the patient strongly wished. In the resected material, five nodulus were noted. Histopathologically, pulmonary infarction due to Dirofilaria immitis and its bodies were confirmed. The definite diagnosis of human pulmonary Dirofilaria immitis was made. The disease appears solitary in most cases, and if it presents with multiple nodulus, the number of nodules have been counted up to two. This case with five nodulus is the first report in Japan. Immunological examination of serum of the patient collected preoperatively also confirmed the presence of antibody for Dirofilaria immitis. Consequently, it is possible to make the definite diagnosis of Dirofilaria immitis by immunological examination and the disease only forms infarct foci in the lung. It demands no paticular treatments and we are able to avoid unnecessary operations. |
| Databáze: | OpenAIRE |
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