1. The first case of periorbital human dirofilariasis in the Czech Republic
- Author
-
Ladislav Novotný, Pavel Kulich, Jaroslav Ondruš, Jan Gebauer, Petr Husa, Adam Novobilský, and Rusłan Sałamatin
- Subjects
Pathology ,medicine.medical_specialty ,030231 tropical medicine ,Dirofilaria immitis ,Repens ,Microfilaria ,030308 mycology & parasitology ,Incubation period ,03 medical and health sciences ,0302 clinical medicine ,Dirofilariasis ,parasitic diseases ,medicine ,Parasite hosting ,Animals ,Humans ,Eye Infections, Parasitic ,Microfilariae ,Czech Republic ,0303 health sciences ,General Veterinary ,biology ,General Medicine ,Helminth Proteins ,Middle Aged ,biology.organism_classification ,medicine.disease ,Dirofilaria repens ,Infectious Diseases ,medicine.anatomical_structure ,Insect Science ,Cyclooxygenase 1 ,Parasitology ,Female ,Eyelid - Abstract
Dirofilaria repens and Dirofilaria immitis are the most common filarial species affecting humans in Europe. Dirofilaria repens causes subcutaneous or ocular infection, whereas D. immitis is responsible mainly for the pulmonary form. In this report, we present the first human case of periorbital dirofilariasis in the Czech Republic. A 58-year-old woman suffered from an eyelid oedema, redness and pain in the left eye. After excising the parasite from her eyelid, all clinical symptoms disappeared. Based on the morphology and cytochrome oxidase I sequencing, the parasite was identified as D. repens. Histology revealed that the excised worm was female with absent microfilariae in uteri. With respect to the length of the incubation period and the sequence identity with a known Czech isolate, we concluded that D. repens was most likely of autochthonous origin.
- Published
- 2020