Hira P R, Madda J P, al-Shamali M A, Eberhard M L
Department of Microbiology, Faculty of Medicine, Kuwait University.
Am J Trop Med Hyg. 1994 Nov;51(5):590-2.
Zoonotic dirofilariasis has been reported sporadically from many areas of the world but thus far, there are no such reports from the Arabian Peninsula. We present the first report of human dirofilariasis from this region in the Middle East and discuss the significance of the finding. A fixed, elongated mass in the abdominal wall of a 50-year-old Kuwaiti man was excised and a worm was identified in an abscess in tissue sections. The location of the nodule in subcutaneous tissue, the diameter of the worm in section, the multilayered cuticle with fine longitudinal ridges on the external layer, prominent internal cuticular ridges, and abundant somatic muscles suggested the diagnosis of the worm as Dirofilaria (Nochetiella) repens, a natural parasite of dogs and cats in Asia, Africa, and Europe.
人兽共患的恶丝虫病已在世界许多地区有零星报道，但迄今为止，阿拉伯半岛尚无此类报告。我们发表了中东该地区首例人类恶丝虫病报告，并讨论了这一发现的意义。从一名50岁科威特男子的腹壁切除了一个固定的细长肿块，在组织切片的脓肿中发现了一条蠕虫。结节位于皮下组织，切片中蠕虫的直径、外层有细纵嵴的多层角质层、明显的内部角质嵴以及丰富的体肌提示该蠕虫诊断为匐行恶丝虫，它是亚洲、非洲和欧洲犬猫的天然寄生虫。
