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Anterior High-Resolution Optical Coherence Tomography in the Diagnosis and Therapeutic Monitoring of Ocular Surface Squamous Neoplasia

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[Subconjunctival nodule with Dirofilaria repens].

R Mănescu¹, D Bărăscu, C Mocanu

¹Clinica de oftalmologie, UMF Craiova. reprograf@rdslink.ro

Chirurgia (Bucharest, Romania : 1990)

|April 25, 2009

Summary

A rare human infection with Dirofilaria repens, a zoonotic parasite, was documented in a patient from Craiova. This case highlights potential new disease patterns linked to environmental changes and global warming.

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Area of Science:

Ophthalmology
Parasitology
Public Health

Background:

Dirofilaria repens infection is a zoonotic disease endemic in Southern Europe and Sri Lanka.
Human cases are infrequent, making each occurrence noteworthy for epidemiological understanding.

Observation:

A 27-year-old woman presented with a mobile, subconjunctival tumor on the bulbar area.
The patient resided in Craiova, an area not typically associated with Dirofilaria repens endemicity.
She reported no travel history to known endemic regions.

Findings:

Surgical removal of the subconjunctival formation revealed an immature Dirofilaria repens.
Microscopic examination confirmed the presence of the parasitic nematode.

Implications:

This case suggests that Dirofilaria repens infections may occur outside traditional endemic zones.
Environmental changes and global warming could facilitate the spread of such zoonotic diseases into new regions.
Increased vigilance and diagnostic awareness are necessary for identifying and managing rare parasitic infections in non-endemic areas.