Presentation
We present two cases of pulmonary dirofilariasis presenting as coin lesions in the lung, which were clinically suggestive of malignancy. [ncbi.nlm.nih.gov]
Workup
Both patients had normal systemic workup results and remained symptom-free after surgical removal of the nematode. Clinical findings, diagnosis, pathogenesis, and management are discussed. Ophthalmic dirofilariasis is a rare condition. [ncbi.nlm.nih.gov]
(See Pathophysiology, Etiology, and Workup.) Plain chest radiographic appearance of pulmonary coin lesion secondary to Dirofilaria immitis infection in a man. [emedicine.medscape.com]
Treatment
The definitive treatment of Dirofilaria infection in humans is surgical removal of lung granulomas and nodules under the skin, this treatment is also curative. In many cases, no treatment with medicines is necessary. [omicsonline.org]
Although considered a clinically benign disease, an excisional lung biopsy is nearly always needed for diagnosis and treatment and minimally invasive surgery with VATS should be performed whenever possible.Conflicts of Interest The authors have no conflicts [journalpulmonology.org]
What is the treatment? The definitive treatment of Dirofilaria infection in humans is surgical removal of lung granulomas and nodules under the skin; this treatment is also curative. In many cases, no treatment with medicines is necessary. [cdc.gov]
* This study tries to make a review of the incidence, clinical signs, diagnosis, treatment and profilaxis of Heartworm disease, plus the differential diagnosis with other filarial parasites tha infect our dogs which also have certain pathologic entity [dialnet.unirioja.es]
Complete surgical excision is the treatment of choice and an anthelmintic can be administered if residual lesions are present or the patient is from an endemic area. [ncbi.nlm.nih.gov]
Prognosis
The prognosis for feline heartworm disease is guarded. The severe symptoms caused by the parasite can be avoided by cleansing the skin, surgery, or the use of therapeutic drugs, such as diethylcarbamazine (DEC), ivermectin, or albendazole. [omicsonline.org]
Prognosis In mildly symptomatic or asymptomatic animals, the course of dirofilariasis is usually uneventful following treatment and the prognosis is excellent 3. [en.wikivet.net]
Prognosis is good in case of Dirofilariasis. 1. Joseph K, Vinayakumar AR, Criton S, Vishnu MS, Pariyaram SE. Periorbital mass with cellulitis caused by dirofilaria. Indian J Med Microbiol 2011;29:431-3. [ PUBMED ] 2. [e-ijd.org]
The theory is supported by the observation that most pediatric cases in Sri Lanka are localized to the scrotum, penis, and perineal regions of the body. [55] Prognosis In general, following diagnosis and resection of the affected tissue, the prognosis [emedicine.medscape.com]
Etiology
Polymerase Chain Reaction testing may provide a more accurate etiological diagnosis in case of an inconclusive pathology result. [ncbi.nlm.nih.gov]
TERMINOLOGY Definitions Infectious condition caused by helminth ETIOLOGY/PATHOGENESIS Etiology Caused by Dirofilaria immitis Dirofilariasis is more common in dogs Humans are accidental hosts CLINICAL ISSUES Epidemiology Incidence Uncommon infectious condition [basicmedicalkey.com]
Peripheral smear showed microcystic hypochromic anemia with mild eosinophilia and thrombocytosis which was in favor of an allergic/parasitic etiology. [kjophthal.com]
Antigen detection proved to be a useful method to confirm the filarial etiology in the present case. [journals.lww.com]
Epidemiology
The aim of this study was to ascertain the geographical distribution and clinical manifestations of a relatively rare among people zoonotic disease such as dirofilariasis, whose epidemiological features depends on prevalence of the parasite among usual [ncbi.nlm.nih.gov]
Pathophysiology
[…] have been reported mainly from regions with high canine heartworm prevalence, such as the southern United States (US), the objectives of this review were (1) to describe the microbiology of the parasite; (2) to resolve any misconceptions regarding the pathophysiology [ncbi.nlm.nih.gov]
(See Pathophysiology and Clinical Presentation.) [emedicine.medscape.com]
Prevention
Digital images were sent to the Centers for Disease Control and Prevention, which identified the parasite as a nematode in the genus Dirofilaria It appeared to be dead and degenerating, but external, fine longitudinal cuticular ridges and the presence [ncbi.nlm.nih.gov]
Year-round prevention is advised. Preventive therapy in dogs is recommended beginning at 6–8 wk of age. [msdvetmanual.com]
How can I prevent dirofilariasis? Dirofilariasis can be prevented by avoiding mosquito bites in areas where mosquitoes may be infected with Dirofilaria larvae. [cdc.gov]