Chronic Pleura Empyema — Consequence of Internal Dirofiliariosis

Abstract

Summary. Introduction. Warming in Ukraine leads to the displacement of warm zones to colder ones, and at the same time, to the removal of colonization zones of many insectivores, which are carriers of rare diseases in Ukraine.
 Materials and methods. Clinical observation of Dirophilaria immitis of the pleural cavity is given. The patient was treated for «pneumonia» by a family doctor and a district therapist for two months. Only after consultation with a thoracic phthisiosurgeon was diagnosed with chronic pleural empyema and performed pleurectomy. A living string-like body was found in the pleural sac, which turned out to be D. immitis.
 Results and discussion of observations. The diagnosis of «pneumonia» was established on the basis of the clinical picture without a detailed physical and radiological examination, which is methodologically erroneous. If the patient was observed or consulted by a specialist, surgery could be performed earlier, in the first stage of chronic disease.
 Conclusions. In the differential diagnosis of pleural diseases, a detailed physical and radiological examination in two projections and anamnesis leads: human bites by mosquitoes in wet places, as they are the final hosts of D. Immitis and D. repens.