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Human Subcutaneous Dirofilariasis.

Meghna Joseph1, Mrinal Murali Krishna2, Akhil Vijayan3

  • 1Pediatrics, Medical College Thiruvananthapuram, Thiruvananthapuram, IND.

Cureus
|April 10, 2023
PubMed
Summary

A 16-year-old boy had a subcutaneous parasitic cyst caused by Dirofilaria repens. This rare zoonotic infection, transmitted by mosquitoes, highlights the importance of recognizing emerging diseases.

Keywords:
dirofilariasisemerging infectionsmosquito-borne diseasessubcutaneous dirofiariasistropical infectionszoonotic diseases

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Area of Science:

  • Medical Entomology
  • Parasitology
  • Dermatology

Background:

  • Dirofilariasis is a zoonotic parasitic disease transmitted by infected mosquitoes.
  • Human infections are typically asymptomatic or present with mild symptoms, but subcutaneous dirofilariasis is a rare manifestation.

Observation:

  • A 16-year-old male presented with a two-month history of forearm swelling.
  • Imaging revealed a parasitic cyst, which was surgically excised.
  • Histopathological examination confirmed the presence of Dirofilaria repens.

Findings:

  • The case represents a confirmed instance of human subcutaneous dirofilariasis.
  • Dirofilaria repens was identified as the causative agent.
  • Successful treatment involved surgical excision and diethylcarbamazine therapy.

Implications:

  • Clinicians should consider dirofilariasis in the differential diagnosis of subcutaneous parasitic infections.
  • Emerging zoonoses, influenced by climate change, necessitate increased vigilance and diagnostic awareness.
  • Early diagnosis and prevention of zoonotic infections have significant epidemiological value.