Abstract
Background: Human dirofilariasis is not perceived as a serious public health concern in India despite more number of sporadic cases being reported of late. Only a few dozen cases were reported in the first decade of the new millenium, but the number is gradually increasing during the last decade. With a high population of pet dogs & cats and vast number of stray dogs, the State of Kerala could be a potential infective area. Case Report: It is against this background that an interesting case of infraorbital incidence of dirofilaria repens is being reported that was mimicking as periorbital cellulitis. The cyst was surgically excised and sent for histopathological examination. The presence of Dirofilaria repens was confirmed. Conclusion: There has been an increase in the incidence of dirofilariasis in countries that were considered as non-endemic such as India of late. The probable contributing factors are discussed in detail. Coordinated parasite surveillance and preventive vector control measures with active participation from LSGs and local population are suggested.
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