Kaouech Emira, Becheur Meriam, Cheikh Meriam, Belhadj Slaheddine, Kallel Kalthoum, Chaker Emna
Laboratoire de parasitologie-mycologie, Hôpital La-Rabta, 15, rue Djebel-Lakhdhar 1007 Tunis, Tunisie.
Sante. 2010 Jan-Mar;20(1):47-8. doi: 10.1684/san.2009.0172. Epub 2010 Mar 25.
Dirofilariasis is a rare anthroponotic disease caused by Dirofilaria, the principal reservoir of which is the dog. The first case of subcutaneous dirofilariasis in Tunisia was reported in 1990.
We report a case involving a 40-year-old woman living in northeastern Tunisia who presented with a subcutaneous lesion of the upper lip resembling a sebaceous cyst. Excisional biopsy released a worm identified on morphologic examination as Dirofilaria repens. Only excision allows simultaneous diagnosis and treatment.
This is the 14th case of dirofilariasis reported in Tunisia. This parasitic disease is probably underestimated in our country. It should be considered for all subcutaneous nodules, regardless of localisation.
犬恶丝虫病是一种由恶丝虫引起的罕见人兽共患病，其主要宿主为犬。突尼斯首例皮下犬恶丝虫病于1990年报告。
我们报告一例病例，患者为一名居住在突尼斯东北部的40岁女性，其表现为上唇类似皮脂腺囊肿的皮下病变。切除活检取出一条蠕虫，经形态学检查鉴定为匐行恶丝虫。只有切除才能实现同时诊断和治疗。
这是突尼斯报告的第14例犬恶丝虫病病例。这种寄生虫病在我国可能被低估。对于所有皮下结节，无论其位置如何，都应考虑该病。
