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SummaryA case of the human ocular dirofilariosis in 72-year-old man from southern Slovakia is documented. Two days before visiting a doctor he noticed a live worm in his right eye. The eye was inflamed and itching. The worm of 100 mm in length was isolated from the subconjunctival space. On the basis of morphological appearance, histological examination and PCR-based detection, it was identified as Dirofilaria repens. The patient was probably infected in the southern Slovakia, which is an enzootic area of dirofilariosis of dogs.
Human dirofilariosis is currently considered to be an emerging zoonosis of Central Europe with climate change and globalization playing a key role in its spreading. Additionally, the occurrence of Dirofilaria spp. is strongly subject to a certain number of microfilaremic dogs and the presence of the mosquito vectors. Both conditions are fulfilled in Slovakia. The first human case of autochthonous dirofilariosis in Slovakia was diagnosed in 2007, 2 years after the infection had been observed in the Slovak dog population. Since then, a total of 12 human cases caused by Dirofilaria repens have been registered at the Institute of Parasitology, Slovak Academy of Sciences, 7 subcutaneous, 4 ocular and 1 pulmonary; however, it is likely that some cases remain undiagnosed, seeing that this infection is still missed by physicians. Of the patients 9 were male and 3 were female and their age varied between 15 and 72 years (mean 49 years). The majority of those affected came from the southern regions of the country, bordering Austria and Hungary, which are considered to be endemic areas for canine dirofilariosis. In this paper all published and unpublished cases are reviewed, with a special emphasis on the rare pulmonary form of D. repens infection.
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SummaryThe aim of our study was to determine the prevalence of toxocariasis in Bratislava and smaller towns in western Slovakia. During 2006 -2011, sand samples collected from 121 sandpits were investigated: 63 sandpits were from Bratislava City and 58 from sandpits in towns outside Bratislava (Malacky, Pezinok Stupava). In Bratislava, 27 % of examined sandpits were contaminated with Toxocara spp. eggs. In smaller towns eggs of Toxocara spp. were found from three sandpits (6.8 %) of Pezinok and Stupava only. In Malacky, no faeces and no eggs were found in any sandpits. Faecal samples of 1436 dogs and 263 cats were investigated. T. canis eggs were found in the faeces of 16.5 % dogs and T. cati in 18.6 % of examined cats. Toxocariasis of dogs was significantly higher in smaller towns such as the city Bratislava (χ2 = 10.88 for P ≤ 0.001). The difference in prevalence of T. cati in cats bred in Bratislava and outside Bratislava was not confirmed (P ≤ 0.05). 382 pregnant women were examined by ELISA. Anti-Toxocara antibodies were detected in 32 women (8.4 %). The difference in seroprevalence of women coming from Bratislava (6.6 %) and smaller towns outside Bratislava (11.0 %) was not statistically significant (χ2 = 1.6; P ≤ 0.05).
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