Human pulmonary dirofilariasis with secondary myocarditis

Abstract Dirofilariasis is a little-known zoonosis, with dogs and cats as definitive hosts. It is caused by nematodes and transmitted by mosquito bites. We report the case of a 67-year-old man with a consumptive syndrome with two subpleural pulmonary opacities. A transthoracic lung biopsy revealed a...

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Bibliographic Details
Main Authors: Andréa Beltrami Doltrário, Natalí Caneli Valim, Ellen Aparecida Pereira Barboza Dellaspora, Gilberto Gambero Gaspar, Fernanda Guioti Puga, Alexandre Todorovic Fabro, Mariângela Ottoboni Brunaldi, Roberto Martinez
Format: Article
Language:English
Published: Sociedade Brasileira de Medicina Tropical (SBMT) 2019-05-01
Series:Revista da Sociedade Brasileira de Medicina Tropical
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822019000100716&lng=en&tlng=en
Description
Summary:Abstract Dirofilariasis is a little-known zoonosis, with dogs and cats as definitive hosts. It is caused by nematodes and transmitted by mosquito bites. We report the case of a 67-year-old man with a consumptive syndrome with two subpleural pulmonary opacities. A transthoracic lung biopsy revealed a Dirofilaria worm. Myocardial nuclear magnetic resonance (NMR) demonstrated dilated cardiomyopathy after myocarditis related to dirofilariasis. Human infection is rare and occurs accidentally. The most common radiological alteration is a mainly subpleural coin lesion. Dirofilariasis is a neglected emergent disease and knowledge about it is important for differential diagnoses from neoplastic pulmonary nodules.
ISSN:1678-9849