Ocular Dirofilariasis after Clinically Manifested Subcutaneous Migration of the Parasite: A Case Report

  • František ONDRISKA Department of Laboratory Testing Methods in Health Care, Faculty of Health Care and Social Work, Trnava University, Trnava, Slovakia .Department of Parasitology, Medirex (Ltd), Bratislava, Slovakia
  • Vojtech BOLDIŠ Department of Laboratory Testing Methods in Health Care, Faculty of Health Care and Social Work, Trnava University, Trnava, Slovakia
  • Marta STANISLAVOVÁ Department of Ophthalmology, University Hospital of Bratislava, Bratislava, Slovakia
  • Daniela ANTOLOVÁ Department of Zoonotic Diseases, Institute of Parasitology SAS, Košice, Slovakia
  • Martina MITERPÁKOVÁ Department of Zoonotic Diseases, Institute of Parasitology SAS, Košice, Slovakia
  • Anton HANÁČEK Department of Ophthalmology, Faculty Hospital of Trnava, Trnava, Slovakia
  • Soňa VEŠPEROVÁ Department of Infectology, Faculty Hospital of Trnava, Trnava, Slovakia
  • Ivan JANČOVIČ ENT Outpatient Department, Bánovce nad Bebravou, Slovakia
Keywords:
Dirofilariasis, Dirofilaria repens; Subcutaneous migra-tion, Ocular infection, Slovakia

Abstract

Dirofilaria repens is the causative agent of human subcutaneous or, less often, ocular dirofilariasis. The work presents a rare case of ocular dirofilariasis manifested by previous subcutaneous migration accompanied by severe headache symptoms. In February 2017, a 58-yr-old man from Trnava region, western Slovakia, noticed red and itchy stripes on his left leg. Inflamed but painless stripes disappeared and showed up again every 5–7 days, migrating gradually towards the head. Approximately one month after the first skin´s alterations, strong pain in the left temple, with the swelling of the left face and the enlargement of mandibular lymph nodes appeared. Several days later, the patient felt excruciating pain of the right eyeball accompanied by strong nausea and subsequent vomiting. Ocular examination revealed the presence of a live worm in the subconjunctival space and morphological and molecular analyses of extracted helminth confirmed D. repens as etiological agent of the infection. According to clinical manifestation of the infection, it could be supposed that ocular form of the disease was the result of the migration of a parasite through the subcutaneous tissues. Moreover, a rare phenomenon of lymphadenitis of underlying lymph nodes and the swelling of left face accompanied the migration.

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Published
2020-03-10
How to Cite
1.
ONDRISKA F, BOLDIŠ V, STANISLAVOVÁ M, ANTOLOVÁ D, MITERPÁKOVÁ M, HANÁČEK A, VEŠPEROVÁ S, JANČOVIČ I. Ocular Dirofilariasis after Clinically Manifested Subcutaneous Migration of the Parasite: A Case Report. Iran J Parasitol. 15(1):147-152.
Section
Case Report(s)