Subcutaneous Dirofilariasis in Female Pubic Region - Case Report.

Croatia Dirofilaria repens Human dirofilariasis Subcutaneous dirofilariasis Zoonoses

Journal

Open access Macedonian journal of medical sciences
ISSN: 1857-9655
Titre abrégé: Open Access Maced J Med Sci
Pays: North Macedonia
ID NLM: 101662294

Informations de publication

Date de publication:
15 Feb 2019
Historique:
received: 01 09 2018
revised: 28 11 2018
accepted: 30 11 2018
entrez: 6 3 2019
pubmed: 6 3 2019
medline: 6 3 2019
Statut: epublish

Résumé

Number of reported cases of human dirofilariasis in the last couple of decades has been increasing. Dogs are the main reservoir hosts, while various mosquito species represent/serve as vectors. Human infections are caused by two different parasites: Dirofilaria immitis and Dirofilaria repens. Dirofilaria repens is currently considered to be one of the most rapidly-spreading human and animal parasite species in Europe. Clinical features are characterised by subcutaneous or ocular lesions which can persist for months without any symptoms. The disease is considered to be endemic in Mediterranean countries, central Asia, Israel, and Sri Lanka with increased incidence in Central and East Europe. Apart from the local population, tourists are also susceptible to this disease. Export of domestic animals can transfer parasites between different countries. This disease is rare in Croatia. We are presenting a case of a 58-year-old female patient with dirofilariasis of the genital region caused by Dirofilaria repens, confirmed with PCR and sequencing. From the clinician point of view, subcutaneous dirofilariasis should be considered as a differential diagnosis in cases of long-lasting subcutaneous swellings.

Sections du résumé

BACKGROUND BACKGROUND
Number of reported cases of human dirofilariasis in the last couple of decades has been increasing. Dogs are the main reservoir hosts, while various mosquito species represent/serve as vectors. Human infections are caused by two different parasites: Dirofilaria immitis and Dirofilaria repens. Dirofilaria repens is currently considered to be one of the most rapidly-spreading human and animal parasite species in Europe. Clinical features are characterised by subcutaneous or ocular lesions which can persist for months without any symptoms. The disease is considered to be endemic in Mediterranean countries, central Asia, Israel, and Sri Lanka with increased incidence in Central and East Europe. Apart from the local population, tourists are also susceptible to this disease. Export of domestic animals can transfer parasites between different countries. This disease is rare in Croatia.
CASE PRESENTATION METHODS
We are presenting a case of a 58-year-old female patient with dirofilariasis of the genital region caused by Dirofilaria repens, confirmed with PCR and sequencing.
CONCLUSION CONCLUSIONS
From the clinician point of view, subcutaneous dirofilariasis should be considered as a differential diagnosis in cases of long-lasting subcutaneous swellings.

Identifiants

pubmed: 30834008
doi: 10.3889/oamjms.2019.034
pii: OAMJMS-7-392
pmc: PMC6390160
doi:

Types de publication

Case Reports

Langues

eng

Pagination

392-395

Références

Histopathology. 2001 Apr;38(4):344-54
pubmed: 11318900
Parassitologia. 2000 Dec;42(3-4):231-54
pubmed: 11686084
Parasite. 2003 Dec;10(4):382-4
pubmed: 14710638
Vet Parasitol. 2006 Feb 18;135(3-4):303-14
pubmed: 16289566
Ann Saudi Med. 2006 Sep-Oct;26(5):403-4, 414
pubmed: 17019090
Wien Klin Wochenschr. 2008;120(3-4):96-102
pubmed: 18322771
Magy Seb. 2008 Oct;61(5):281-4
pubmed: 19028661
Acta Dermatovenerol Croat. 2008;16(4):222-5
pubmed: 19111148
Acta Dermatovenerol Croat. 2009;17(1):82-3
pubmed: 19386219
Acta Med Croatica. 2010 Mar;64(1):41-5
pubmed: 20653124
Paediatr Int Child Health. 2013 May;33(2):111-2
pubmed: 23925286
Coll Antropol. 2013 Sep;37(3):995-7
pubmed: 24308248
Acta Vet Scand. 2014 Jan 21;56:6
pubmed: 24447798
Acta Clin Croat. 2013 Dec;52(4):533-6
pubmed: 24697007
Parasitol Res. 2014 Dec;113(12):4663-7
pubmed: 25346197
Parasite. 2015;22:2
pubmed: 25619827
Pediatr Emerg Care. 2015 Oct;31(10):715-6
pubmed: 25626639
Wien Klin Wochenschr. 2015 Sep;127(17-18):696-702
pubmed: 26178869
Indian J Med Microbiol. 2015 Oct-Dec;33(4):593-4
pubmed: 26470974
Parasitol Res. 2016 Jun;115(6):2389-95
pubmed: 27021185
BMC Infect Dis. 2016 Apr 19;16:171
pubmed: 27094256
Parasit Vectors. 2017 Feb 20;10(1):94
pubmed: 28219407

Auteurs

Ivka Djaković (I)

Sestre Milosrdnice University Hospital Center, Vinogradska 29, Zagreb, Croatia.

Tanja Leniček (T)

Sestre Milosrdnice University Hospital Center, Vinogradska 29, Zagreb, Croatia.

Relja Beck (R)

Department for Bacteriology and Parasitology, Croatian Veterinary Institute, Savska cesta 143, Zagreb, Croatia.

Zdenko Kraljević (Z)

Sestre Milosrdnice University Hospital Center, Vinogradska 29, Zagreb, Croatia.

Krunoslav Kuna (K)

Sestre Milosrdnice University Hospital Center, Vinogradska 29, Zagreb, Croatia.

Dražan Butorac (D)

Sestre Milosrdnice University Hospital Center, Vinogradska 29, Zagreb, Croatia.

Classifications MeSH