“…The histological examination of tissues provides valuable data and is particularly useful for cases in which small egg granulomas cannot be observed macroscopically (Glazebrook et al ., 1989; Gordon et al ., 1998; Stacy et al ., 2010). The main finding is an inflammatory reaction composed of multinucleated giant cells, although eggs can be found without an inflammatory response in some cases (Jerdy et al ., 2016). The severe consequences of spirorchiidiosis are aneurysm, endocarditis, arteritis, embolism and thrombosis (Glazebrook et al ., 1989; Gordon et al ., 1998; Stacy et al ., 2010; Werneck et al ., 2015).…”