Cutaneous dirofilariasis resulting in orchiectomy

Nematode infection mimicking paratesticular malignancy

“…These nodules can be mistaken for scrotal malignancies and can result in extensive operations that are unnecessary 10. Among the cases reported, the majority were from endemic areas with D repens commonly attributed to the occurrence of the disease 10 12 13. However, a small number of cases of subcutaneous dirofilarial nodules have been reported in the literature with D immitis as the causal organism, with one case describing a scrotal nodule 11 14.…”

Dirofilaria repens Testicular Infection in Child, Italy

“…When malignancy cannot be excluded, an excisional biopsy is indicated for histologic diagnosis. The complete extraction of the worm is usually curative, and no specific antihelminth therapy is indicated in the absence of secondary lesions ( 8 , 9 ).…”