title: Human dirofilariasis in the eyelid caused by Dirofilaria repens: An imported case.
abstract: The case concerns a 33-year-old Ukrainian woman, who came to the Ophthalmology Emergency Service, stating that she had a «worm» under the skin of her upper left eyelid that wriggled at night and bit her. A complete examination revealed a subcutaneous foreign body, which showed a filarial appearance and seemed to crawl under the skin. It was surgically removed to discover a live parasite, PCR-identified as Dirofilaria repens.
  
  
  
  Humans are accidental hosts in the cycle of Dirofilaria. There are only 8 reported cases of subcutaneous infection in Spain. Due to global warming, D. repens has become an emerging infectious agent in Central Europe countries such as Ukraine. The findings in this case are discussed.
authors.affiliation: Unidad de Gestión Clínica de Oftalmología, Hospital de Jerez de la Frontera, Jerez de la Frontera, Cádiz, España.
authors.forename: M
authors.initials: M
authors.lastname: Rodríguez-Calzadilla
authors.affiliation: Unidad de Gestión Clínica de Oftalmología, Hospital de Jerez de la Frontera, Jerez de la Frontera, Cádiz, España.
authors.forename: M W
authors.initials: MW
authors.lastname: Ruíz-Benítez
authors.affiliation: Unidad de Gestión Clínica de Microbiología, Hospital de Jerez, Jerez de la Frontera, Jerez de la Frontera, Cádiz, España.
authors.forename: J L
authors.initials: JL
authors.lastname: de-Francisco-Ramírez
authors.affiliation: Unidad de Gestión Clínica de Oftalmología, Hospital de Jerez de la Frontera, Jerez de la Frontera, Cádiz, España.
authors.forename: A R
authors.initials: AR
authors.lastname: Redondo-Campos
authors.affiliation: Unidad de Gestión Clínica de Oftalmología, Hospital de Jerez de la Frontera, Jerez de la Frontera, Cádiz, España.
authors.forename: E
authors.initials: E
authors.lastname: Fernández-Repeto-Nuche
authors.affiliation: Servicio de Parasitología, Instituto de Salud Carlos III, Centro Nacional de Microbiología, Madrid, España.
authors.forename: T
authors.initials: T
authors.lastname: Gárate
authors.affiliation: Departamento de Parasitología, Universidad de Salamanca, Salamanca, España.
authors.forename: R
authors.initials: R
authors.lastname: Morchón
mesh_terms: D000328:Adult; D000818:Animals; D000076263:Communicable Diseases, Imported / Q000175:diagnosis / Q000469:parasitology* / Q000601:surgery; D004184:Dirofilariasis / Q000175:diagnosis / Q000601:surgery; D005141:Eyelid Diseases / Q000175:diagnosis / Q000469:parasitology* / Q000601:surgery; D005260:Female; D006801:Humans
keywords: Dirofilaria; Dirofilaria repens; Dirofilariasis humana; Dirofilariasis ocular; Dirofilariasis subcutánea; Human dirofilariasis; Ophthalmic dirofilariasis; Subcutaneous dirofilariasis