Pulmonary coin lesion caused by Dirofilaria immitis - a report of two cases with a minireview of the literature. 2022

Maja Jerše
Faculty of Medicine, Institute of Pathology, University of Ljubljana, Ljubljana, Slovenia.

Dirofilariasis is a rare zoonosis, transmitted from infested dogs or other carnivorous animals to humans via mosquitoes. Two male patients with a solitary, peripheral, well-defined, coin-like pulmonary lesion in the right upper lobe were presented. Rapid enlargement of the lesion within a few months suggested malignancy, resulting in surgical removal. Microscopic examination of the resected lung revealed necrotic circumscribed lesions with embolized parasites in the vessels. Both parasites were females of the species Dirofilaria immitis. They represent the first reported cases of pulmonary dirofilariasis in Slovenia. Awareness of this entity is important in the differential diagnosis of pulmonary coin lesions.

UI MeSH Term Description Entries
D008168 Lung Either of the pair of organs occupying the cavity of the thorax that effect the aeration of the blood. Lungs
D008174 Lung Diseases, Parasitic Infections of the lungs with parasites, most commonly by parasitic worms (HELMINTHS). Parasitic Lung Diseases,Parasitic Infections of Lung,Pulmonary Parasitic Infections,Lung Disease, Parasitic,Lung Parasitic Infection,Lung Parasitic Infections,Parasitic Infection, Pulmonary,Parasitic Infections, Pulmonary,Parasitic Lung Disease,Pulmonary Parasitic Infection
D008297 Male Males
D003074 Solitary Pulmonary Nodule A single lung lesion that is characterized by a small round mass of tissue, usually less than 1 cm in diameter, and can be detected by chest radiography. A solitary pulmonary nodule can be associated with neoplasm, tuberculosis, cyst, or other anomalies in the lung, the CHEST WALL, or the PLEURA. Coin Lesion, Pulmonary,Pulmonary Coin Lesion,Pulmonary Nodule, Solitary,Solitary Lung Nodule,Coin Lesions, Pulmonary,Nodule, Solitary Pulmonary,Nodules, Solitary Pulmonary,Pulmonary Coin Lesions,Pulmonary Nodules, Solitary,Solitary Pulmonary Nodules,Lesion, Pulmonary Coin,Lung Nodule, Solitary,Nodule, Solitary Lung,Solitary Lung Nodules
D004183 Dirofilaria immitis A filarial parasite primarily of dogs but occurring also in foxes, wolves, and humans. The parasite is transmitted by mosquitoes. Dog Heartworm,Dirofilaria immitides,Dog Heartworms,Heartworm, Dog,Heartworms, Dog,immitis, Dirofilaria
D004184 Dirofilariasis Infection with nematodes of the genus DIROFILARIA, usually in animals, especially dogs, but occasionally in man. Heartworm Disease,Dirofilariases,Disease, Heartworm
D004285 Dogs The domestic dog, Canis familiaris, comprising about 400 breeds, of the carnivore family CANIDAE. They are worldwide in distribution and live in association with people. (Walker's Mammals of the World, 5th ed, p1065) Canis familiaris,Dog
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia

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