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1 Assistant Professor, Department of Pathology, Baylor College of Medicine, Houston
The two cases of human pulmonary dirofilariasis reported bring the number of cases published in the English literature to 21. As in most cases of pulmonary dirofilariasis, these two patients presented roentgenologically single noncalcified coin lesions and required thoracotomy for diagnosis. Pathologically, the lesions were rounded ischemic infarcts associated with pulmonary arterial thrombosis due to a nematode identified as Dirofilaria. The worm is morphologically indistinguishable from D immitis, the common canine heartworm. The life cycle of the parasite and the two clinical forms of human dirofilariasis are briefly discussed.
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