Human Subconjunctival Dirofilariasis Presenting As the Daytime Photophobia: A Case Report

Overview

Journal Iran J Public Health

Date 2018 Jan 9

PMID 29308388

Citations 3

Authors

Seyed Ali Tabatabaei

Mohammad Soleimani

Bahram Nikmanesh

Raziyeh Mahmoudzadeh

Zakieh Vahedian

Mirataollah Salabati

Zahra Soleimani

Amir Matini

Mahyar Noorbakhsh

Affiliations

Soon will be listed here.

Abstract

We report a case of subconjunctival worm with a rare presentation of diurnal photophobia and temporal conjunctival injection. This case report describes a subconjunctival dirofilariasis in a 59-year-old man presented with foreign body sensation, localized tenderness, and eye redness during the day. After removal of subconjunctival 10 cm worm, the diagnosis was compatible with . Proof of identity was based on the morphological appearance, which were reliable diagnostic clues. Ocular examination was normal one month later except for faint temporal conjunctival scar. Subconjunctival dirofilariasis could present as diurnal photophobia and conjunctival injection.

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References

Tafti M, Hajilary A, Siatiri H, Rokni M, Mobedi I, Mowlavi G . Ocular dirofilariasis, a case report. Iran J Parasitol. 2012; 5(3):64-8. PMC: 3279847. View

Silaghi C, Beck R, Capelli G, Montarsi F, Mathis A . Development of Dirofilaria immitis and Dirofilaria repens in Aedes japonicus and Aedes geniculatus. Parasit Vectors. 2017; 10(1):94. PMC: 5319011. DOI: 10.1186/s13071-017-2015-x. View

Font R, NEAFIE R, Perry H . Subcutaneous dirofilariasis of the eyelid and ocular adnexa. Report of six cases. Arch Ophthalmol. 1980; 98(6):1079-82. DOI: 10.1001/archopht.1980.01020031069012. View

Nicholson C, Allen M, Trastek V, Tazelaar H, Pairolero P . Dirofilaria immitis: a rare, increasing cause of pulmonary nodules. Mayo Clin Proc. 1992; 67(7):646-50. DOI: 10.1016/s0025-6196(12)60718-6. View

Tavakolizadeh S, Mobedi I . Orbital dirofilariasis in Iran: a case report. Korean J Parasitol. 2009; 47(4):397-9. PMC: 2788720. DOI: 10.3347/kjp.2009.47.4.397. View

Fuehrer H, Auer H, Leschnik M, Silbermayr K, Duscher G, Joachim A . Dirofilaria in Humans, Dogs, and Vectors in Austria (1978-2014)-From Imported Pathogens to the Endemicity of Dirofilaria repens. PLoS Negl Trop Dis. 2016; 10(5):e0004547. PMC: 4873239. DOI: 10.1371/journal.pntd.0004547. View

Negahban S, Daneshbod Y, Atefi S, Daneshbod K, Sadjjadi S, Hosseini S . Dirofilaria repens diagnosed by the presence of microfilariae in fine needle aspirates: a case report. Acta Cytol. 2007; 51(4):567-70. DOI: 10.1159/000325796. View

Gorezis S, Psilla M, Asproudis I, Peschos D, Papadopoulou C, Stefaniotou M . Intravitreal dirofilariasis: a rare ocular infection. Orbit. 2006; 25(1):57-9. DOI: 10.1080/01676830500499224. View

Sassnau R, Czajka C, Kronefeld M, Werner D, Genchi C, Tannich E . Dirofilaria repens and Dirofilaria immitis DNA findings in mosquitoes in Germany: temperature data allow autochthonous extrinsic development. Parasitol Res. 2014; 113(8):3057-61. DOI: 10.1007/s00436-014-3970-1. View

10.

Rokni M . The present status of human helminthic diseases in Iran. Ann Trop Med Parasitol. 2008; 102(4):283-95. DOI: 10.1179/136485908X300805. View

11.

Arbune M, Dobre M . Dirofilariasis - an emergent human parasitosis in Romania. Acta Parasitol. 2015; 60(3):485-7. DOI: 10.1515/ap-2015-0068. View

12.

Pampiglione S, Canestri Trotti G, Rivasi F . Human dirofilariasis due to Dirofilaria (Nochtiella) repens: a review of world literature. Parassitologia. 1995; 37(2-3):149-93. View

13.

Tse B, Siatkowski R, Tse D . A technique for capturing migratory periocular worms: a case series and review of literature. Ophthalmic Plast Reconstr Surg. 2010; 26(5):323-6. DOI: 10.1097/IOP.0b013e3181c563e9. View

14.

To K, Wong S, Poon R, Trendell-Smith N, Ngan A, Lam J . A novel Dirofilaria species causing human and canine infections in Hong Kong. J Clin Microbiol. 2012; 50(11):3534-41. PMC: 3486214. DOI: 10.1128/JCM.01590-12. View

15.

Ranjbar-Bahadori S, Veshgini A, Shirani D, Eslami A, Mohieddin H, Shemshadi B . Epidemiological aspects of canine dirofilariasis in the north of iran. Iran J Parasitol. 2012; 6(1):73-80. PMC: 3279860. View

16.

Harizanov R, Jordanova D, Bikov I . Some aspects of the epidemiology, clinical manifestations, and diagnosis of human dirofilariasis caused by Dirofilaria repens. Parasitol Res. 2014; 113(4):1571-9. DOI: 10.1007/s00436-014-3802-3. View

17.

Simon F, Siles-Lucas M, Morchon R, Gonzalez-Miguel J, Mellado I, Carreton E . Human and animal dirofilariasis: the emergence of a zoonotic mosaic. Clin Microbiol Rev. 2012; 25(3):507-44. PMC: 3416488. DOI: 10.1128/CMR.00012-12. View

18.

Chopra R, Bhatti S, Mohan S, Taneja N . Dirofilaria in the anterior chamber: a rare occurrence. Middle East Afr J Ophthalmol. 2012; 19(3):349-51. PMC: 3401811. DOI: 10.4103/0974-9233.97965. View

19.

dHeurle D, Kwa B, Vickery A . Ophthalmic dirofilariasis. Ann Ophthalmol. 1990; 22(7):273-5. View

20.

Mittal M, Sathish K, Bhatia P, Chidamber B . Ocular dirofilariasis in Dubai, UAE. Indian J Ophthalmol. 2008; 56(4):325-6. PMC: 2636165. View