“…The zoonotic role of O. lupi was reported for the first time in 2011 [7] and, since then on, up to 18 patients have been diagnosed positive for this parasite, worldwide (i.e., Germany, Tunisia, Hungary, Greece, Turkey, Iran and USA) [18][19][20]. The diagnosis of canine onchocercosis is achieved by detection and identification of microfilariae (mfs) in small skin biopsies, an invasive procedure not often accepted by dog owners, mainly in absence of typical clinical lesions of the infection [21,22], and or based on the presence of ocular nodules on the eyelids, conjunctiva, and sclera of dogs [23,24]. However, the results of these procedures may be (false-) negative in the case of infections with immature or not reproducing worms and according to the day-time of the sampling, considering the circadian rhythm of mfs [8].…”