RESUMO
Dirofilaria immitis is a parasite related to pulmonary dirofilariasis in humans, its accidental hosts. We detected an autochthonous case of D. immitis infection in a woman from Slovakia. The emergence and spread of this parasite in Europe indicates a critical need for proper diagnosis of infection.
Assuntos
Dirofilaria immitis , Dirofilaria repens , Dirofilariose , Doenças do Cão , Pneumopatias Parasitárias , Animais , Dirofilariose/diagnóstico , Dirofilariose/parasitologia , Doenças do Cão/parasitologia , Cães , Feminino , Humanos , Pneumopatias Parasitárias/diagnóstico , Eslováquia/epidemiologiaRESUMO
A 62-year-old man presented with diabetes insipidus, pulmonary fibrosis, right atrial tumor and bilateral knee osteoarthritis with cystic lesions of distal femur and proximal tibia. Scintigraphy and histological examination of right femur bone biopsy revealed changes characterized for Paget's disease. Re-evaluation of the computer tomography (CT) scans and histological samples revealed diffuse infiltrates of foamy histiocytes in the bone marrow what was consistent with Erdheim-Chester disease. Positron emission tomography/computed tomography (PET/CT) was performed to access the activity and extent of disease.
