Human dirofilariosis (D.repens) in the subcutaneous tissues of the head: Clinical case in the department of neurosurgery of the Interregional Clinical and Diagnostic Center of Kazan

A. Pichugin
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Abstract

Human Dirofilariasis is a zoonosis caused by thin nematodes of Dirofilaria species (D. repens, D. immitis, D. tenuis и D. Ursi) that belong to the Onchocercidae family. Larval stages of Dirofilaria are usually occur in their primary hosts like cats and dogs and rarely invade incidental hosts - human. In the article described a clinical case of a patient with skull base meningioma who was admitted to the neurosurgical department for elective surgical treatment. The dense nodule was palpated in the subcutaneous tissue of the frontal area of the head. While removing the subcutaneous node a thin white alive worm was evacuated during the surgery. The microscopical examination verified D. repens. Human Dirofilariasis is a rare disease in the Republic of Tatarstan, Russia. However, there is observed a growth of the number of dirofilariasis cases in the recent years. Nine patients with dirofilariasis were diagnosed in the Republic of Tatarstan within 2019-2022.
人头部皮下组织双丝虫病(d.r repens):喀山地区间临床诊断中心神经外科病例
人钩丝虫病是一种由盘尾丝虫科钩丝虫种(repens、immitis、tenuis和Ursi)细线虫引起的人畜共患病。Dirofilaria的幼虫阶段通常发生在它们的主要宿主,如猫和狗,很少入侵附带宿主-人类。本文描述了一例颅底脑膜瘤患者在神经外科接受选择性手术治疗的临床病例。在头部额区皮下组织触诊到致密结节。在切除皮下淋巴结的同时,术中抽出了一条薄薄的白色活虫。显微镜检查证实D. repens。在俄罗斯鞑靼斯坦共和国,人类钩丝虫病是一种罕见疾病。然而,近年来观察到笛虫病病例的数量有所增加。2019-2022年期间,鞑靼斯坦共和国确诊了9例笛罗丝虫病患者。
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