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

Abstract

Human dirofilariasis is a zoonosis caused by thin nematodes of Dirofilaria species (D. repens, D. immitis, D. tenuis and D. ursi) that belong to the Onchocercidae family. Larval stages of Dirofilaria usually occur in their primary hosts, such as cats and dogs, and rarely invade incidental hosts — human. The study 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. During the removal of 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, the number of dirofilariasis cases is increasing in the recent years. Thirty-seven patients with dirofilariasis were diagnosed in the Republic of Tatarstan from 2010 to 2022.

Keywords

dirofilariasis / helminthiasis / parasitic disease / diseases of the soft tissues of the head

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