[Clinical and parasitological diagnosis of human dirofilariasis].

The paper reports two new cases of human dirofiliriasis (its causative agent is Dirofiliria repens) with a rare clinical diagnosis of funiculitis of the right scrotal spermatic cord in a 12-year-old boy from the Tambov Region and of erysipelatous inflammation of the outer side of the right leg in a 68-year-old woman who resides in Moscow and lives in her country house in the Shakhovsky District, Moscow Region, in summer. Both cases of invasion are regarded as local. The bodies of the D. repens females detected measured 110 x 0.476-0.48 and 135 x 0.56-0.60 mm, respectively, and the females were identified as impubertal and pubertal, but infecund. In the former case, dirofiliriasis was an etiological factor of spermatic cord funiculitis. In the latter case, the location of Dirofiliria provoked prolonged (7-month) erysipelatous inflammation. Emphasis is placed on the implication of dirofiliriasis in human pathology. To have a more intimate knowledge of parasitic etiology will help physicians in making a differential diagnosis of dirofiliriasis and in elaborating a correct treatment policy after a clinical and parasitological diagnosis is established.