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Dirofilariasis of the scrotum in a 9-year-old child
- Authors: Pisklakov A.V.1,2, Zaitsev Y.E.2, Pavlenko N.I.1,2, Lysov A.V.1, Sitko L.A.1
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Affiliations:
- Omsk State Medical University
- Regional Children’s Clinical Hospital
- Issue: Vol 26, No 3 (2022)
- Pages: 174-176
- Section: CASE REPORT
- Submitted: 17.07.2022
- Accepted: 17.07.2022
- Published: 17.07.2022
- URL: https://jps-nmp.ru/jour/article/view/497
- DOI: https://doi.org/10.55308/1560-9510-2022-26-3-174-176
- ID: 497
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Abstract
Introduction. Dirofilariasis of the scrotum is one of unusual manifestations of this zoonosis in children, especially in regions which are outside the distribution area of this helminth what causes certain difficulties in preoperative diagnostics.
Purpose. To describe a clinical case so as to warn physicians about a possibility of meeting dirofilariasis infection in the scrotum outside the area of this helminth location.
Clinical case. The authors present a clinical case of a child with a parasitic cyst simulating tumor in the scrotum for what an oncologist was invited for the consultation. At the examination, a rounded formation adjoining the left testicle, densely elastic in consistency, with smooth borders, motionless to the testicle, painless on palpation was revealed. The child did not leave the region. A parasitic cyst of the scrotum was removed in the clinic of pediatric surgery.
Results. Histopathology confirmed cyst parasitic origin; the revealed parasite was identified as Dirofilaria repens because of characteristic morphological features. The child was found healthy at one-year follow up examination.
Conclusion. Though the disease is rarely met, dirofilariasis should be included in the differential diagnostics in case of mass formations in the scrotum in children.
Keywords
About the authors
A. V. Pisklakov
Omsk State Medical University; Regional Children’s Clinical Hospital
Author for correspondence.
Email: pisklakovomsk@mail.ru
ORCID iD: 0000-0001-7594-7723
Andrei V. Pisklakov, Professor, head of the chair
chair of pediatric surgery, pediatric reproductive medicine
644099
644043
Omsk
РоссияYu. E. Zaitsev
Regional Children’s Clinical Hospital
Email: fake@neicon.ru
ORCID iD: 0000-0001-8580-200X
644043
Omsk
РоссияN. I. Pavlenko
Omsk State Medical University; Regional Children’s Clinical Hospital
Email: fake@neicon.ru
ORCID iD: 0000-0001-6242-6195
644099
644043
Omsk
РоссияA. V. Lysov
Omsk State Medical University
Email: fake@neicon.ru
ORCID iD: 0000-0002-2874-6686
644099
Omsk
РоссияL. A. Sitko
Omsk State Medical University
Email: fake@neicon.ru
ORCID iD: 0000-0001-7611-1848
644099
Omsk
РоссияReferences
- Simón F., Siles-Lucas M., Morchón R., González-Miguel J., Mellado I., Carretón E, et al. Human and animal dirofilariasis: the emergence of a zoonotic mosaic. Clin Microbiol Rev. 2012; 25 (3): 507–44. https://doi.org/10.1128/CMR.00012-12
- Sabūnas V., Radzijevskaja J., Sakalauskas P., Petkevičius S., Karvelienė B., Žiliukienė J., et al. Dirofilaria repens in dogs and humans in Lithuania. Parasit Vectors. 2019; 12 (1): 177. https://doi.org/10.1186/s13071-019-3406-y
- Fuehrer H. P., Auer H., Leschnik M., Silbermayr K., Duscher G., Joachim A. Dirofilaria in Humans, Dogs, and Vectors in Austria (1978–2014) From Imported Pathogens to the Endemicity of Dirofilaria repens. PLOS Negl Trop Dis. 2016; 19; 10 (5): e0004547. https://doi.org/10.1371/journal.pntd.0004547
- Matějů J., Chanová M., Modrý D., Mitková B., Hrazdilová K., Žampachová V., et al. Dirofilaria repens: emergence of autochthonous human infections in the Czech Republic (case reports). BMC Infect Dis. 2016; 16: 171. https://doi.org/10.1186/s12879-016-1505-3
- Chandrasena T. G. A. N., Premaratna R., Mallawaarachchi C. H., Gunawardena N. K., Gunathilaka P. A. D. H. N., Abeyewickrama W. Y., et al. The Diversity of Human Dirofilariasis in Western Sri Lanka. Biomed Res Int. 2019; 2019: 9209240. https://doi.org/10.1155/2019/9209240
- Возлюбленный Д. Е. Диагностика и лечение дирофиляриоза мягких тканей нижних конечностей / Д. Е. Возлюбленный, Е. И. Возлюбленный, Н. Ю. Неласов // Хирургия. – 2016. – 4: 81–5. – Vozljublennyj D. E., Vozljublennyj E. I., Nelasov N. Ju. Diagnosis and treatment of dirofilariasis of soft tissues of the lower extremities. Khirurgijya. 2016; 4: 81–85. (in Russian)
- Журило И. П. Дирофиляриоз в практике детского хирурга / И. П. Журило [и др.] // Хiрургiя дитячого вiку. – 2012. – 4: 83–6. – Zhurilo I. P., Litovka V. K., Latyshov K. V., Fomenko S. A., Gunkin A. Ju., Lepihov P. A. et al. Dirofilariasis in the practice of a pediatric surgeon. Khirurgija dityachogo viku. 2012; 4: 83–6.
- Genchi C., Kramer L. H. The prevalence of Dirofilaria immitis and D. repens in the Old World. Vet Parasitol. 2020 Apr; 280: 108995. https://doi.org/10.1016/j.vetpar.2019.108995
- Авдюхина Т. И. Дирофиляриоз (D. repens) в Российской Федерации и некоторых странах СНГ: ситуация и тенденция её изменения / Т. И. Авдюхина [и др.] // Медицинская паразитология. – 2003. – 4: 44–8. – Avdyuhina T. I., Postnova V. F., Abrosimova L. M., Kovtunov A. I., Arakeljan S. Je., Murashov N. E. et al. Dirofilariasis (D. repens) in the Russian Federation and some CIS countries: situation and trends. Medicinskaja parazitologiya. 2003; 4: 44–8. (in Russian)
- Гайнутдинова Р. Ф. Диагностика дирофиляриоза человека / Р. Ф. Гайнутдинова [и др.] // Практическая медицина. – 2012. – 1: 123–6. – Gajnutdinova R. F., Tuhbatullin M. G., Gilmullina F. S., Nefedov V. P., Pigalova O. M., Bikmuhametova D. A. Diagnosis of human dirofilariasis. Prakticheskaja medicina. 2012; 1: 123-6. (in Russian)
- Росоловский А. П. Появление случаев заболевания дирофиляриозом в Новгородской области, Россия, в 2010–2012 гг / А. П. Росоловский, В. А. Пьяных, В. Н. Игнатьева // EPINORTH. – 2012. – 13 (3): 91–5. – Rosolovskij A. P., Pjanyh V. A., Ignateva V. N. The appearance of cases of dirofilariasis in the Novgorod region, Russia, in 2010–2012. EPINORTH. 2012; 13 (3): 91–5. (in Russian)
- Tumolskaya N. I., Pozio E., Rakova V. M., Supriaga V. G., Sergiev V. P., Morozov E. N., et al. Dirofilaria immitis in a child from the Russian Federation. Parasite. 2016; 23: 37. https://doi.org/10.1051/parasite/2016037
- Bertozzi M., Rinaldi V. E., Prestipino M., Giovenali P., Appignani A. Dirofilariasis Mimicking an Acute Scrotum. Pediatr Emerg Care. 2015; 31 (10): 715–6. https://doi.org/10.1097/PEC.0000000000000346
- Петров С. Н. Случай дирофиляриоза у ребёнка 4 лет / С. Н. Петров // Детская хирургия. – 2003. – 2: 48–9. – Petrov S. N. A case of dirofilariasis in a 4-year-old child. Detskaja khirurgiya. 2003; 2: 48–9. (in Russian)
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