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Inicio Archivos de la Sociedad Española de Oftalmología (English Edition) Human dirofilariasis in the eyelid caused by Dirofilaria repens: An imported cas...
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Vol. 92. Issue 9.
Pages 439-441 (September 2017)
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Vol. 92. Issue 9.
Pages 439-441 (September 2017)
Short communication
Human dirofilariasis in the eyelid caused by Dirofilaria repens: An imported case
Dirofilariasis palpebral causada por Dirofilaria repens: un caso importado
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M. Rodríguez-Calzadillaa,
Corresponding author
mario_rodcal@hotmail.com

Corresponding author.
, M.W. Ruíz-Beníteza, J.L. de-Francisco-Ramírezb, A.R. Redondo-Camposa, E. Fernández-Repeto-Nuchea, T. Gáratec, R. Morchónd
a Unidad de Gestión Clínica de Oftalmología, Hospital de Jerez de la Frontera, Jerez de la Frontera, Cádiz, Spain
b Unidad de Gestión Clínica de Microbiología, Hospital de Jerez, Jerez de la Frontera, Jerez de la Frontera, Cádiz, Spain
c Servicio de Parasitología, Instituto de Salud Carlos III, Centro Nacional de Microbiología, Madrid, Spain
d Departamento de Parasitología, Universidad de Salamanca, Salamanca, Spain
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Abstract
Clinical case

The case concerns a 33-year-old Ukrainian woman, who came to the Ophthalmology Emergency Service, stating that she had a “worm” under the skin of her upper left eyelid that wriggled at night and bit her. A complete examination revealed a subcutaneous foreign body, which showed a filarial appearance and seemed to crawl under the skin. It was surgically removed to discover a live parasite, PCR-identified as Dirofilaria repens.

Discussion

Humans are accidental hosts in the cycle of Dirofilaria. There are only 8 reported cases of subcutaneous infection in Spain. Due to global warming, D. repens has become an emerging infectious agent in Central Europe countries such as Ukraine. The findings in this case are discussed.

Keywords:
Dirofilaria
Dirofilaria repens
Human dirofilariasis
Ophthalmic dirofilariasis
Subcutaneous dirofilariasis
Resumen
Caso clínico

Mujer de 33 años, ucraniana, acude a urgencias asegurando tener alojado en el párpado un gusano que se mueve y le muerde. La exploración reveló un cuerpo extraño subcutáneo, filiforme, que reptaba bajo la piel. Fue extirpado quirúrgicamente extrayéndose un parásito vivo identificado por PCR como Dirofilaria repens.

Discusión

Los humanos son huéspedes accidentales en el ciclo de las dirofilarias. En España apenas se han publicado 8 casos de afectación subcutánea. Ante el calentamiento global D. repens se ha convertido en un agente infeccioso emergente en países de Centroeuropa como el originario de la paciente. Exponemos nuestras conclusiones.

Palabras clave:
Dirofilaria
Dirofilaria repens
Dirofilariasis humana
Dirofilariasis ocular
Dirofilariasis subcutánea

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