State Committee of Veterinary and Livestock Development of the Republic of Uzbekistan, 21 A Kichik khalka youli Street, 100123 Tashkent, Uzbekistan.
Clinical Hospital of Infectious Diseases of Cluj-Napoca, 23 Iuliu Moldovan Street, 400348 Cluj-Napoca, Romania.
J Helminthol. 2023 Mar 23;97:e30. doi: 10.1017/S0022149X23000147.
is a zoonotic mosquito-borne filarioid that parasitizes in the subcutaneous tissues of carnivores, that has been incriminated in the great majority of human dirofilariasis cases reported throughout the Old World. From the Republic of Uzbekistan, recent data showed that this parasite is endemic in domestic and wild carnivores. In contrast, information regarding human infection is scarce and mostly outdated, with a single case report being published during the last decades. The present paper reports a case of recurrent autochthonous infection with in a patient living in the rural area of the Sirdaryo Region of Uzbekistan and having no international travel history. The first diagnosis was in 2019, when the patient presented with what was suspected to be a tumour of the left breast. Three years later, in 2022, she presented for a consultation after experiencing redness, occasional swelling and persistent itching in the umbilical region of the abdomen. The ultrasound indicated the presence of a living, motile nematode. Following anthelmintic therapy, the parasite was surgically removed and identified as a female . The present report highlights the possibility of human re-infection with and further underlines the necessity of raising public awareness and implementing of solid control strategies in carnivores.
是一种人畜共患的蚊媒丝状线虫，寄生于食肉动物的皮下组织，在旧世界报告的绝大多数人类旋毛虫病病例中都被归咎于此。来自乌兹别克斯坦共和国的最新数据显示，这种寄生虫在国内和野生动物的食肉动物中流行。相比之下，关于人类感染的信息很少且大多已过时，在过去几十年中仅发表了一份病例报告。本文报告了一例在乌兹别克斯坦锡尔达里亚地区农村居住且无国际旅行史的患者发生的复发性本地感染病例。首次诊断是在 2019 年，当时患者出现左乳房疑似肿瘤。三年后的 2022 年，她因出现腹部脐部发红、偶尔肿胀和持续瘙痒而就诊。超声检查提示存在活体、活动的线虫。驱虫治疗后，通过手术切除寄生虫，并鉴定为雌性 。本报告强调了人类可能再次感染 的可能性，并进一步强调了提高公众意识和在食肉动物中实施扎实控制策略的必要性。
