Glavan Nedeljka, Pećanić Sanja, Bosak Ana, Gacanin Lana, Abram Maja, Jonjić Nives
Acta Clin Croat. 2013 Dec;52(4):533-6.
Dirofilariasis is a zoonotic infection caused by worms belonging to the genus Dirofilaria. The disease is transmitted by mosquitoes and the hosts are usually dogs. Infections in humans are rare and they usually manifest as a subcutaneous nodule or a conjunctival form. We present a 10-year-old boy with a subcutaneous nodule on his left forearm, who was admitted to the hospital. On examination, the only significant findings were high levels of eosinophils. The pediatrician suspected dirofilariasis and the boy was referred to pediatric surgery. The whole lesion was surgically removed and histopathologic examination confirmed parasitic infection by Dirofilaria repens. Although human dirofilariasis is a rare disease, the number of reported cases has recently increased worldwide. The disease mainly occurs in southern European countries, but has also been described in eastern Europe, Central Asia and Sri Lanka. Croatia is one of the endemic areas for dirofilariasis, especially in the region of the Istria Peninsula. The case presented highlights the requirement for further monitoring of endemic areas in order to establish effective preventive measures.
犬恶丝虫病是一种由恶丝虫属的蠕虫引起的人畜共患感染。该疾病通过蚊子传播，宿主通常是狗。人类感染较为罕见，通常表现为皮下结节或结膜型。我们报告一名10岁男孩，他因左前臂出现皮下结节而入院。检查时，唯一显著的发现是嗜酸性粒细胞水平升高。儿科医生怀疑是犬恶丝虫病，该男孩被转诊至小儿外科。整个病变被手术切除，组织病理学检查证实为匐行恶丝虫的寄生虫感染。虽然人类犬恶丝虫病是一种罕见疾病，但最近全球报告的病例数有所增加。该疾病主要发生在欧洲南部国家，但在东欧、中亚和斯里兰卡也有报道。克罗地亚是犬恶丝虫病的流行地区之一，特别是在伊斯特拉半岛地区。所呈现的病例突出了进一步监测流行地区以建立有效预防措施的必要性。
