Sparganum mansoni parasitic infection in the lung showing a nodule
Sparganum mansoni parasitic infection in the lung showing a nodule
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DOI：
10.1111/j.1440-1827.2006.02028.x
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发表时间：
2006-11-01
影响因子：
2.2
通讯作者：
Nomori, Hiroaki
中科院分区：
文献类型：
--
作者：
Iwatani, Kazunori;Kubota, Ichiro;Nomori, Hiroaki
本文报告一例57岁男性感染曼氏绦虫，表现为右肺中叶单发结节。由于经支气管活检不能诊断结节，怀疑为恶性肿瘤，行右中叶切除术。经组织学和免疫血清学检查诊断为斯巴达病。组织学检查显示肉芽肿性炎症伴中性粒细胞和嗜酸性粒细胞浸润，结节周围有间质性肺炎。病变周围可见血管炎伴异物巨细胞。据作者所知，这是第二例斯巴达病局限于肺部，目前的报告提出了肺斯巴达病病例的第一个详细的组织学描述。
Reported herein is a 57-year-old man infected by Sparganum mansoni, a kind of tapeworm, showing a solitary nodule of the middle lobe of the right lung. Because a transbronchial biopsy could not diagnose the nodule, a right middle lobectomy was performed on suspicion of malignant tumor. The lesion was diagnosed as sparganosis by histological and immuno-serological examinations. Histological examination revealed granulomatous inflammation with neutrophil and eosinophil infiltration around the worm and interstitial pneumonia surrounding the nodule. Moreover, vasculitis with foreign body giant cell was seen around the lesion. To the authors' knowledge this is the second case of sparganosis limited in the lung, and the current report presents the first detailed histological description of a pulmonary sparganosis case.