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Serological Confirmation of Cure Following Surgery

Arch Ophthalmol. 1998;116:1370-1372.

Cases of zoonotic dirofilariasis infection, caused by Dirofilaria repens, occur widely throughout European, African, Middle Eastern, and Asian countries. The reports of this infection in humans in Spain are limited, and we herein report the case of a 43-year-old man from Elche (Alicante), Spain, who was seen with acute hyperemic reactivity of the temporal limbus of the right eye. A large nematode was visualized on examination and the intact worm was surgically removed. The parasite was identified as a mature but infertile female D repens. The level of serum antibodies against D repens was monitored for 6 months after surgery using immunoenzymatic assays. Serological results confirmed, as expected, the presence of a single worm and the parasitological cure after the surgical removal of the parasite. To our knowledge, this is the fourth autochthonous case of D repens infecting humans in Spain and also the first autochthonous case of subconjunctival localization.

José M. Ruiz-Moreno, MD; Fernando J. Bornay-Llinares, MD, PhD; Guadalupe Prieto Maza, MSc; Magali Medrano, MD; Fernando Simón, PhD; Mark L. Eberhard, PhD
From the División de Oftalmología y IOA (Dr Ruiz-Moreno) and División de Microbiología (Dr Bornay-Llinares), Universidad Miguel Hernández, Alicante, Spain; Laboratorio de Parasitología, Facultad de Farmacia, Universidad de Salamanca, Salamanca, Spain (Ms Maza and Dr Simón); Centro de Salud Santa Faz, Alicante (Dr Medrano); and Division of Parasitic Diseases, Centers for Disease Control and Prevention, Atlanta, Ga (Dr Eberhard).

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