Human dirofilariosis in the 21st century. A scoping review of clinical cases reported in the literature Transbound Emerg Diseases
16 páginas, 11 figuras
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| Language: | English |
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Wiley-VCH
2022
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| Subjects: | Case reports, Clinical management, Dirofilaria, Epidemiology, Human dirofilariosis, Parasite characteristics, |
| Online Access: | http://hdl.handle.net/10261/247202 |
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dig-irnasa-es-10261-2472022022-11-04T16:58:56Z Human dirofilariosis in the 21st century. A scoping review of clinical cases reported in the literature Transbound Emerg Diseases Simón, Fernando Diosdado, Alicia Siles Lucas, Mar Kartashev, Vladimir González Miguel, Javier Ministerio de Ciencia, Innovación y Universidades (España) Siles Lucas, Mar [0000-0002-1257-2562] González Miguel, Javier [0000-0003-4279-4761] Case reports Clinical management Dirofilaria Epidemiology Human dirofilariosis Parasite characteristics 16 páginas, 11 figuras Human dirofilariosis is a clinical entity caused by infection with nematode species of the genus Dirofilaria. The traditional picture depicts the disease as a sporadic event associated with the presence of a single immature worm causing a nodular lesion. With the aim to reassess this paradigm, establishing a more accurate picture of the disease and homogenize criteria, a scoping review was conducted by searching, screening and analysing published clinical cases of human dirofilariosis worldwide during the 21st century. After extracting data from 305 publications containing 576 case reports, results showed that human dirofilariosis is currently caused by five Dirofilaria species (mainly D. repens). Maturation was not uncommon, since 42.95% of the parasites recovered were described as mature worms, most of them females, 26.42% of which contained micofilariae in the uterus. Moreover, six microfilaremic cases have been described. The predominant clinical manifestation was the presence of a worm encapsulated within a nodule, but there is a considerable variety of accompanying symptoms depending on anatomical location and type of dirofilariosis. Parasites/nodules were found in 71 different anatomical locations, being the traditional nomenclature of human dirofilariosis unable to properly cover this complex situation. Delay in seeking medical assistance (patient perception) and the frequency of wrong clinical suspicions (doctor knowledge), strongly influenced clinical management. The initial suspicion in cases of subcutaneous and pulmonary dirofilariosis is predominantly a tumour, while in the ocular dirofilariosis a parasite (but not directly Dirofilaria) is mostly suspected. Surgery is usually applied, regardless of the use of non-invasive techniques during preoperative management and although its use is still limited, molecular approach is the most accurate technique to establish a species-level diagnosis. Accurate epidemiological, parasitological and clinical information while handling and reporting human clinical cases is a need for physicians and researchers to improve and standardize the clinical management of human dirofilariosis. The English translation of this article was done by ‘Servicio Central de Idiomas (USAL)’ and supported by ‘Programa V: Difusión de resultados de investigación (Universidad de Salamanca)’. The open access publication was supported as per the agreement between the University of Salamanca and Wiley. A. D. is supported by a doctoral fellowship from the University of Salamanca, co-funded by Banco Santander. J. G. M. is supported by the ‘Juan de la Cierva-Incorporación’ program (IJC2018-036660-I) of the Ministerio de Ciencia, Innovación y Universidades (MCIU) and by the JIN project ‘ULYSSES’ (RTI2018-093463-J-100) funded by Ministerio de Ciencia, Innovación y Universidades (MCIU), Agencia Estatal de Investigación (AEI) and Fondo Europeo de Desarrollo Regional (FEDER, UE). Peer reviewed 2021-08-04T08:05:57Z 2021-08-04T08:05:57Z 2022 artículo http://purl.org/coar/resource_type/c_6501 Transboundary and Emerging Diseases 69(5): 2424-2439 (2022) 1865-1674 http://hdl.handle.net/10261/247202 10.1111/tbed.14210 1865-1682 en #PLACEHOLDER_PARENT_METADATA_VALUE# info:eu-repo/grantAgreement/AEI/Plan Estatal de Investigación Científica y Técnica y de Innovación 2017-2020/RTI2018-093463-J-100 Publisher's version https://doi.org/10.1111/tbed.14210 Sí open Wiley-VCH |
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biblioteca |
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Biblioteca del IRNASA España |
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English |
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Case reports Clinical management Dirofilaria Epidemiology Human dirofilariosis Parasite characteristics Case reports Clinical management Dirofilaria Epidemiology Human dirofilariosis Parasite characteristics |
| spellingShingle |
Case reports Clinical management Dirofilaria Epidemiology Human dirofilariosis Parasite characteristics Case reports Clinical management Dirofilaria Epidemiology Human dirofilariosis Parasite characteristics Simón, Fernando Diosdado, Alicia Siles Lucas, Mar Kartashev, Vladimir González Miguel, Javier Human dirofilariosis in the 21st century. A scoping review of clinical cases reported in the literature Transbound Emerg Diseases |
| description |
16 páginas, 11 figuras |
| author2 |
Ministerio de Ciencia, Innovación y Universidades (España) |
| author_facet |
Ministerio de Ciencia, Innovación y Universidades (España) Simón, Fernando Diosdado, Alicia Siles Lucas, Mar Kartashev, Vladimir González Miguel, Javier |
| format |
artículo |
| topic_facet |
Case reports Clinical management Dirofilaria Epidemiology Human dirofilariosis Parasite characteristics |
| author |
Simón, Fernando Diosdado, Alicia Siles Lucas, Mar Kartashev, Vladimir González Miguel, Javier |
| author_sort |
Simón, Fernando |
| title |
Human dirofilariosis in the 21st century. A scoping review of clinical cases reported in the literature Transbound Emerg Diseases |
| title_short |
Human dirofilariosis in the 21st century. A scoping review of clinical cases reported in the literature Transbound Emerg Diseases |
| title_full |
Human dirofilariosis in the 21st century. A scoping review of clinical cases reported in the literature Transbound Emerg Diseases |
| title_fullStr |
Human dirofilariosis in the 21st century. A scoping review of clinical cases reported in the literature Transbound Emerg Diseases |
| title_full_unstemmed |
Human dirofilariosis in the 21st century. A scoping review of clinical cases reported in the literature Transbound Emerg Diseases |
| title_sort |
human dirofilariosis in the 21st century. a scoping review of clinical cases reported in the literature transbound emerg diseases |
| publisher |
Wiley-VCH |
| publishDate |
2022 |
| url |
http://hdl.handle.net/10261/247202 |
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