Résumé
Cutaneous dirofilariasis is a zoonosis which mainly occurs in dogs and cats. Human dirofilariasis is rare. At our knowledge, only five cases of human dirofilariasis were reported in Tunisia. We report here two new cases of cutaneous dirofilariasis arising in two 19 and 21 year-old patients. The first one was admitted for surgical excision of a paraombilical cutaneous nodule. The second patient presented with multiple erythematous and pruriginous papules. In both cases, the histological examination revealed the presence of a worm diagnosed as Dirofilaria repens. The evolution was favourable after surgical resection in the first case and spontaneously in the second case
Sujets)
Humains , Mâle , Femelle , Dirofilariose/chirurgie , Dirofilaria , Peau/anatomopathologieRésumé
Canine heart worm disease is often life-threatening due to its various complications, including right side heart failure, caval syndrome and pulmonary eosinophilic granulomatosis. Several preventive medications and melarsomine have been developed and they are very effective to control heartworm infestation. However, in a case of severe infestation, melarsomine therapy often results in an unfavorable outcome because of the severe immune reaction caused by rapid killing of the adult worm. Surgical removal and an interventional method using flexible alligator forceps have been well described in the literature. Despite the usefulness of mechanical removal using flexible alligator forceps, the methodology still needs to be upgraded for increasing the applicability for treating dogs with severe infestation. We describe herein a newly developed percutaneous removal method for heartworms and this was successfully applied to 4 dogs with severe heartworm infestation. The follow-up studies also showed favorable outcomes with no complications.
Sujets)
Animaux , Chiens , Cathétérisme/médecine vétérinaire , Dirofilaria immitis , Dirofilariose/chirurgie , Maladies des chiens/chirurgie , Échocardiographie , Électrocardiographie , Radioscopie/méthodes , Instruments chirurgicaux/médecine vétérinaire , Procédures de chirurgie thoracique/méthodesRésumé
This report describes a case of dirofilariasis of the upper eyelid of a young female patient from Kerala. This is probably the first reported case from India in which a live dirofilarial worm was recovered from the subcutaneous tissues of the eyelid.
Sujets)
Adolescent , Dirofilariose/chirurgie , Parasitoses oculaires/chirurgie , Maladies de la paupière/chirurgie , Paupières/parasitologie , Femelle , Humains , Inde , Tissu sous-cutané/parasitologieRésumé
The first case of human pulmonary dirofilariasis in our country is reported. The etiopathogenesis and pathological findings of the zoonosis are discussed