Journal
ACTA PARASITOLOGICA
Volume 63, Issue 3, Pages 657-663Publisher
WALTER DE GRUYTER GMBH
DOI: 10.1515/ap-2018-0077
Keywords
Dirofilaria repens; Dirofilaria spp.; human dirofilariasis; subcutaneous nodule; microfilaria; microfilariemia; eosinophilia; autochthonous infection
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Dirofilariasis is a parasitic disease of dogs and other carnivores transmitted mainly by the mosquitoes of the genera Culex, Aedes, Anopheles. Full life cycle of the Dirofilaria nematodes in humans is extremely rarely observed, usually lacking species determination at the molecular level. We report fully documented unusual clinical manifestation of subcutaneous dirofilariasis with intensive microfilariemia in peripheral blood revealed by the Knott's concentration technique. The identification of the Dirofilaria repens nematode was based on typical morphological findings for adult gravid female nematode found in the histopathological preparations. The morphology of microfilariae obtained from patient's peripheral blood was also typical for D. repens. The final identification was confirmed by the molecular analysis of microfilariae collected from the blood.
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