Дирофиляриоз: а если гельминта два?

Abstract

In the report, dirofilariasis is considered on the example of clinical cases: the main patients' complaints, the clinical picture and principles of surgical treatment, subsequent histopathological examination to verify the diagnosis. Such patients are not rare, the clinical picture in the case of the helminth's death is very similar to an abscess of the eyelids or eyebrows. But there are also non-standard situations, as in our clinical case. The detected helminth was not the only one. After the detection of the first helminth, a pregnant patient was successfully operated on, the female dirofilaria was extracted. No specific treatment was prescribed given the patient's 27–28 weeks' gestation. After 3 weeks, the patient's complaints about movement under the skin of the eyelids, under the oral mucosa reappeared. But during this period between 32 and 33 weeks of gestation occurs antenatal fetal death. After discharge from the perinatal center, the patient returns to our clinic. During the operation, the second helminth is removed. The report presents the results of the study of the fetus and placenta. Is dirofilariasis harmless? Keywords: dirofilariasis, microfilariae, helminths, D. repens