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Ann Thorac Surg 1976;21:382-385
© 1976 The Society of Thoracic Surgeons

Articles

Dirofilaria immitis (Dog Heartworm) as a Pulmonary Lesion in Humans

William H. Prioleau, Jr., M.D.*, Edward F. Parker, M.D., R. Randolph Bradham, M.D., H.B. Gregorie, Jr., M.D.

From the Departments of Surgery, Roper Hospital, St. Francis Xavier Hospital, and Medical University of South Carolina, Charleston, SC.

* Address reprint requests to Dr. Prioleau, Cardiovascular Research Laboratory, Roper Hospital, 316 Calhoun St, Charleston, SC 29401.

Dirofilaria immitis, the dog heart-worm, has been identified in the pulmonary granulomas of 5 patients from the greater Charleston area; this is the largest series of such cases from one medical center. The patients had no pulmonary symptoms. On roentgenogram the lesions were all about 2 cm in size, of uniform light opacity, and located near the pleural surface. Thoracotomy was performed in each instance because of the possibility of carcinoma. The association of granuloma formation, pulmonary infarct, and eosinophilic infiltration led to the suspicion of dirofilaria, which was confirmed in each case.




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