First time identification of subconjunctival Dirofilaria immitis in Turkey: giant episcleral granuloma mimicking scleritis       
Yazarlar (7)
Doç. Dr. Mehmet AYKUR Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Ayşe Yağcı
Ege University Medical School, Türkiye
Sami Simşek
Firat Üniversitesi, Türkiye
Melis Palamar
Ege University Medical School, Türkiye
Banu Yaman
Ege University Medical School, Türkiye
Metin Korkmaz
Ege University Medical School, Türkiye
Hande Dagci
Ege University Medical School, Türkiye
Makale Türü Diğer (Teknik, not, yorum, vaka takdimi, editöre mektup, özet, kitap krıtiği, araştırma notu, bilirkişi raporu ve benzeri)
Makale Alt Türü SCI, SSCI, AHCI, SCI-Exp dergilerinde yayınlanan teknik not, editöre mektup, tartışma, vaka takdimi ve özet türünden makale
Dergi Adı Parasitology Research
Dergi ISSN 0932-0113 Wos Dergi Scopus Dergi
Dergi Tarandığı Indeksler SCI-Expanded
Dergi Grubu Q3
Makale Dili İngilizce
Basım Tarihi 11-2021
Cilt No 120
Sayı 11
Sayfalar 3909 / 3914
DOI Numarası 10.1007/s00436-021-07317-2
Makale Linki http://dx.doi.org/10.1007/s00436-021-07317-2
Özet
Dirofilariasis is a vector-borne disease that is present worldwide. This report describes a giant subconjunctival granuloma which mimics scleritis, caused by D. immitis. A 60-year-old man was referred with the complaints of irritation, redness, and swelling at the medial part of the right eye. He was living in Izmir province located in western Turkey. Slit-lamp examination showed a firm, immobile mass measuring 13.0 × 5.0 × 5.0 mm with yellowish creamy color. The mass was completely removed surgically under local anesthesia mainly for diagnosis. Histopathology revealed typical morphological features of a filarioid nematode in favor of Dirofilaria as characterized by the external smooth cuticular surface, cuticular layer, muscle layer, and intestinal tubule. Molecular study was performed using DNA isolated from paraffin-embedded tissue sections of the worm. PCR amplification and then DNA sequence analysis of cytochrome c oxidase subunit 1 (cox1) gene fragment confirmed that the worm was D. immitis. It is suggested that this may represent the first human case of D. immitis occurring in subconjunctival granuloma in Turkey. Although rare, D. immitis caused by ocular dirofilariasis in humans should be considered.
Anahtar Kelimeler
Dirofilaria immitis | Human | Mitochondrial DNA analysis | Subconjunctiva | Turkey