A Rare Human Case of Dirofilaria repens Infection in the Subcutaneous Posterior Thorax with Molecular Identification
2015
Le, T.A., Vietnam Military Medical University, Hanoi, Vietnam | Vi, T.T., Vietnam Military Medical University, Hanoi, Vietnam | Nguyen, K.L., Vietnam Military Medical University, Hanoi, Vietnam | Le, T.H., Vietnam Academy of Science and Technology, Hanoi, Vietnam
The emergence of dirofilarial infections in Asia including Vietnam is a clinically significant threat to the community. We here report a rare case of subcutaneous Dirofilaria repens infection on the posterior thoracic wall in a young woman presenting a painful, itchy, and palpable nodule. The adult worm was identified by mitochondrial cox1 and nuclear ITS-2 sequence determination. The diagnosis was additionally confirmed by 16S rRNA sequencing of the endosymbiont Wolbachia pipientis commonly co-existing with D. repens. This is a rare case of subcutaneous human infection on the posterior thoracic region caused by D. repens.
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