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KMID : 0311120000410020285
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Yonsei Medical Journal
2000 Volume.41 No. 2 p.285 ~ p.288
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The First Korean Case of Human Pulmonary Dirofilariasis
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Kyu Jae Lee/Kyu Jae Lee
Gab Man Park/Tai Soon Yong/Kyung Il Im/Soon Hee Jung/Nak Young Jeong/Won Yeon Lee/Suk Joong Yong/Kye Chul Shin
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Abstract
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Human pulmonary dirofilariasis has been documented from many parts of the world, but not in Korea so far. We experienced a patient of pulmonary dirofilariasis who had visited a local clinic because of chest pain for 1 month. On chest radiograph, a coin lesion of 2 cm diameter and enlargement of the mediastinal lymph node were shown. An exploratory lung resection was done. Pathologically the lesion was a pulmonary dirofilariasis complicated with necrotic pneumonia, fibrosis, and infarction. At the center of the lesion, degenerated nematode sections with multilayered cuticle, thick musculature, and bilateral internal ridges on each side were found, which was identified to be Dirofilaria immitis. This is the first report of human pulmonary dirofilariasis in Korea.
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KEYWORD
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Pulmonary dirofilariasis, Dirofilaria immitis, infarction,
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