Dirofilarial adult worms can also dance

Kumar, Anil; Prabhakaran, A; Sherji, Sanju; Biswas, Lalitha; Ramachandran, Arya; Abraham, Mohan; Biswas, Raja

doi:10.1016/j.cmi.2020.11.024

Cited by 1 publication

(1 citation statement)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…On ultrasound, subcutaneous dirofilariasis presents as a hypoechoic nodular lesion with an internal serpiginous structure with internal parallel echogenic walls and an anechoic center. Sometimes active motion of microfilariae is visible, similar to the “filarial dance sign” seen in lymphatic filariasis caused by filarial nematodes of the species Wuchereria bancrofti , Brugia malayi , and Brugia timori [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Subcutaneous dirofilariasis in a 25-year-old male patient in Belgium on ultrasonography: a case report

Klerkx,

Venstermans

2024

J Med Case Reports

View full text Add to dashboard Cite

Background Subcutaneous dirofilariasis is a parasitic zoonosis commonly described in Canidae but rarely seen in humans. Most physicians are unfamiliar with this disease, especially in nonendemic areas, which can lead to medication error and diagnostic and treatment delay. To the best of our knowledge, no previous case of subcutaneous dirofilariasis preoperatively diagnosed on ultrasound has been described in Western Europe. Case presentation A 25-year-old Belgian male patient presented with a subcutaneous nodule in the epigastric region. Ultrasound investigation showed a typical cystic lesion with an internal serpiginous structure with echogenic lines, and there was active twirling movement of this serpentine structure during investigation, pathognomonic for subcutaneous dirofilariasis. Surgical extirpation was performed, and the diagnosis was histopathologically confirmed. Conclusion Subcutaneous dirofilariasis has a characteristic appearance on ultrasound but is not well known in nonendemic areas, often leading to diagnostic delay and initial incorrect treatment. More knowledge of this disease and of its characteristic ultrasound appearance will hopefully lead to better patient care.

show abstract

Section: Introductionmentioning

confidence: 99%