Human dirofilariosis in Hungary: an emerging zoonosis in central Europe

Szénási, Zsuzsanna; Kovács, A; Pampiglione, S; Fioravanti, Marialetizia; Kucsera, István; Tánczos, Balázs; Tiszlavicz, László

doi:10.1007/s00508-008-0928-2

Cited by 59 publications

(48 citation statements)

References 9 publications

(14 reference statements)

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“…The first autochthonous Slovakian human case was described in 2008 in the western part of the country (Babal et al 2008). In Hungary autochthonous human infections have been suspected since 1879 (Babes 1879, Babesiu 1880 and confirmed in 2000 (Szénási et al 2008). Only a few human cases of D. repens infections have been discovered in Romania as of 2012 (Mănescu et al 2009, Popescu et al 2012, and in the bordering Ukrainian oblasts, apart from Zakarpattya, one case was registered in Ivano-Frankivsk and Chernivtsi each, in 2007 and 2009 respectively.…”

Section: Discussionmentioning

confidence: 99%

Human dirofilariasis due to Dirofilaria repens in Ukraine, an emergent zoonosis: epidemiological report of 1465 cases

Salamatin¹,

Pavlikovska

Sagach

et al. 2013

Acta Parasitologica

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The filarial nematode Dirofilaria repens is currently considered to be one of the most extensively spreading human and animal parasites in Europe. In Ukraine, reporting cases of dirofilariasis has been mandatory since 1975, and the disease was included in the national surveillance system for notifiable diseases. Up until December 31st 2012, a total of 1533 cases have been registered, with 1465 cases occurring within the previous 16 years. Most of the cases of dirofilariasis were registered in 6 regions: Kyiv, and the Donetsk, Zaporizhzhya, Dnipropetrovsk, Kherson and Chernihiv oblasts. In the years 1997-2002 the highest incidence rate was noted in the Kherson oblast in the south of the country (9.79 per 100 000 people), and the lowest in western Ukraine (0.07-1.68 per 100 000 people). D. repens infections were registered in all oblasts. Parasitic lesions were most often located in the head, the subconjunctival tissue and around the eyes. D. repens lesions were also found in the limbs, torso, male sexual organs, and female mammary glands. Dirofilariasis was diagnosed in persons aged from 11 months to 90 years old, most often among people between 21-40 years of age. Most patients had only one parasitic skin lesion; the majority of isolated nematodes were female. The results of our analysis point to a constant increase in D. repens dirofilariasis incidence in humans in Ukraine. Despite educational efforts, infections have become more frequent and the territory in which the disease occurs has enlarged to encompass the whole of Ukraine. Nevertheless, the Ukrainian sanitary-epidemiological services managed to achieve some measure of success, e.g. by creating a registration system for D. repens infections and establishing proper diagnostics for the disease.

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Section: Discussionmentioning

confidence: 99%

Human dirofilariasis due to Dirofilaria repens in Ukraine, an emergent zoonosis: epidemiological report of 1465 cases

Salamatin¹,

Pavlikovska

Sagach

et al. 2013

Acta Parasitologica

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“…Ocular Dirofilaria repens may have subconjunctival [5][6][7][8], orbital, intravitreal [3,[9][10][11][12][13][14][15][16][17], and subcutaneous locations, such as intrapalpebral locations [5,[18][19][20][21][22] even in the lacrimal gland [23]. The number of cases of ocular filariasis in the Balkans is increasing [3,[24][25][26][27][28].…”

Section: Discussionmentioning

confidence: 99%

Discrete eyelid swelling caused by live subconjunctival Dirofilaria repens

Jakšić¹,

Mitic²,

Pavlović³

et al. 2011

Open Medicine

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AbstractWe present a case concerning a 48 year-old man, who had complaints about ocular pains and an unpleasant feeling, which had started two days before admission. It was as if there was “something moving in his left eye.” The examination showed an extremely motile white worm, which was wrapped in concentric circles around the limb in the subconjunctival space of the patient’s left eye. It was identified as the adult female form of Dirofilaria repens. The patient had a normal clinical finding, except eosinophilia. Ocular filariasis is as a possibility to think about, even when the cases are not in a typically endemic area and with no specific subjective complains.

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“…A nemzetségbe tartozó fonalférgeknek több faja ismert. Európában az emberi subcutan fertőzések döntő többségét a Dirofilaria repens okozza [1]. A fertőzés általában kutya által, ritkábban macska vagy szú-nyog (Culex, Aedes fajok) közvetítésével terjed át az emberre.…”

Section: An Unusual Cause Of the Hand Cyst: Finger Dirofilariasisunclassified

“…A féreg vagy a férget tartalmazó csomó sebészi kimetszése végle-ges gyógyulást eredményezhet. Gyógyszeres (parazitaellenes) kezelés nem szükséges [1].…”

Section: Megbeszélésunclassified

Ujjon lévő cystosus elváltozás hátterében diagnosztizált dirofilariosis

et al. 2016

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A dirofilariosis egy fonalféreg által okozott fertőző betegség. A humán fertőzésekért leggyakrabban a Dirofilaria repens a felelős. A fonalféreg kutyáról, ritkábban macskáról, szúnyog közvetítésével terjed át az emberre, és a parazita által okozott helyi gyulladás miatt csomó alakulhat ki. A szerzők 13 éves fiúgyermek jobb kéz középső ujján kialakult ciszta hátterében diagnosztizált dirofilariosis esetét mutatják be. A gyermeknél a fizikális vizsgálat során a jobb kéz középső ujj középpercén a feszítőfelszínen elhelyezkedő subcutan csomót észleltek. Lágyrész-ultrahangvizsgálat a cisztikus elváltozásban féreg jelenlétét vetette fel. A ciszta helyi érzéstelenítésben történő eltávolítását követően a parazitológiai vizsgálat a Dirofilaria repens fonalféreg általi fertőzést igazolt. A gyermek a ciszta eltávolítását követő-en panasz-és szövődménymentesen gyógyult. A kéz ujjain megjelenő szoliter elváltozás sokszor jelent differenciáldi-agnosztikai problémát. A preoperatív diagnózis felállításában nagy segítséget nyújthat az ultrahangvizsgálat. A szerzők felhívják a figyelmet, hogy a jelentett humán dirofilariás esetek száma az elmúlt években hazánkban emelkedik. Orv. Hetil., 2016, 157(39), 1571-1574.Kulcsszavak: kéz, ujj, ciszta, gyermek, humán dirofilaria An unusual cause of the hand cyst: finger dirofilariasisDirofilariasis is a zoonosis affecting dogs and cats. It can be transmitted to human by mosquito bites. Because of the local inflammation caused by the parasite, a lump may develop. The authors present a case of a 13-year-old boy, who was diagnosed with dirofilariasis in association with a cyst located on the middle finger of the right hand. During physical examination, a lump on the extensor surface of the middle phalanx of the right middle finger was found. Soft tissue ultrasound was performed, which indicated the presence of a worm in the cyst. The cyst was surgically removed under local anesthesia and with parasitology test Dirofilaria repens infection was confirmed. The child had no complains or symptoms during recovery after the surgery. A solitary growth developing on the fingers of the hand often presents a differential diagnostic problem. Ultrasound can be greatly helpful in the preoperative diagnosis.Keywords: hand, finger, cyst, childhood, human dirofilariasis Molnár, K., Józsa, G., Oberritter, Zs., Cholnoky, E., Pankovics, P., Reuter, G., Tornóczky, E. [An unusual cause of the hand cyst: finger dirofilariasis]. Orv. Hetil., 2016, 157(39), 1571-1574. (Beérkezett: 2016 elfogadva: 2016. július

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Human dirofilariosis in Hungary: an emerging zoonosis in central Europe

Abstract: Most of the above cases of dirofilariosis are certainly autochthonous infections. The increasing number of diagnosed cases suggests that this zoonosis is becoming more important in central Europe and that the incidence may increase with the improvement of clinical diagnosis.

Cited by 59 publications

References 9 publications

Human dirofilariasis due to Dirofilaria repens in Ukraine, an emergent zoonosis: epidemiological report of 1465 cases

Human dirofilariasis due to Dirofilaria repens in Ukraine, an emergent zoonosis: epidemiological report of 1465 cases

Discrete eyelid swelling caused by live subconjunctival Dirofilaria repens

Ujjon lévő cystosus elváltozás hátterében diagnosztizált dirofilariosis

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