Evidence map›Paper›PMID 29891007›Full record

ArticleJournal of cardiothoracic surgery2018

A rare case of human pulmonary dirofilariasis with nodules mimicking malignancy: approach to diagnosis and treatment.

Paolo Albino Ferrari, Antonella Grisolia, Stefano Reale, Rosa Liotta, Alessandra Mularoni, Alessandro Bertani

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal of cardiothoracic surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.7field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 15 citations in OpenAlex.

  1. Uncovering humanParasitology · 2025
    Article
  2. Review
  3. Animals : an open access journal from MDPI · 2024
    Article
  4. Review
  5. Human Pulmonary Dirofilariasis Due toLife (Basel, Switzerland) · 2022
    Article
  6. Article
  7. Human subcutaneous dirofilariasis: the 'migrating' skin tumor.Case reports in plastic surgery & hand surgery · 2021
    Article
  8. Article
  9. Exposure of humans to the zoonotic nematodeEpidemiology and infection · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Paolo Albino FerrariDepartment for the Treatment and Study of Cardiothoracic Diseases and Cardiothoracic Transplantation, IRCCS ISMETT, Via Tricomi 5, Palermo, Italy. paoloalb.ferrari@gmail.com.ORCID http://orcid.org/0000-0002-1788-5322
Antonella GrisoliaInfectious Diseases Unit, IRCCS ISMETT, Via Tricomi 5, Palermo, Italy.
Stefano RealeIstituto Zooprofilattico Sperimentale della Sicilia Adelmo Mirri, Via Gino Marinuzzi 3, Palermo, Italy.
Rosa LiottaPathology Service, Department of Diagnostic and Therapeutic Services, IRCCS ISMETT, Via Tricomi 5, Palermo, Italy.
Alessandra MularoniInfectious Diseases Unit, IRCCS ISMETT, Via Tricomi 5, Palermo, Italy.
Alessandro BertaniDepartment for the Treatment and Study of Cardiothoracic Diseases and Cardiothoracic Transplantation, IRCCS ISMETT, Via Tricomi 5, Palermo, Italy.
Istituti di Ricovero e Cura a Carattere Scientifico · ITAzienda Ospedaliera G. Brotzu · ITIstituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione · ITIstituto Zooprofilattico Sperimentale Della Sicilia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHuman pulmonary dirofilariasis is a rare zoonosis caused by the dog worm Dirofilaria spp., a parasite transmitted by mosquitos and resulting in peripheral lung nodules. The filarial nematode enters the subcutaneous tissue, travels to the right ventricle and dies causing a small pulmonary infarction that may embolize through the pulmonary vessels and may appear as a solitary nodule. These nodules are usually incidentally identified in asymptomatic patients undergoing chest imaging studies, and are generally interpreted to be malignant. CASE PRESENTATION: We present the case report of a human dirofilariasis in a patient with multiple pulmonary nodules resected using video-assisted thoracic surgery (VATS). According to our literature review, this is the first case with double synchronous lung nodules reported in Italy.

conclusionsMinimally invasive resection with histologic examination may be the best approach for the diagnosis and treatment of pulmonary dirofilariasis. Polymerase Chain Reaction testing may provide a more accurate etiological diagnosis in case of an inconclusive pathology result.

Indexed as

AnimalsDiagnosis, DifferentialDirofilariaDirofilariasisFemaleHumansLungLung Diseases, ParasiticLung NeoplasmsMiddle AgedMultiple Pulmonary NodulesThoracic Surgery, Video-AssistedTomography, X-Ray ComputedLung nodulesPCRPulmonary dirofilariasisVideo-assisted thoracic surgery

Identifiers

PMID29891007
PMCPMC5996523
OpenAlexW2808096665

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.