DIROFILARIASIS IN THE DEPARTMENT OF MAXILLOFACIAL SURGERY

Abstract

The article describes a rare case of helminthiasis on the face. Human infection occurs by transmissible way through the bite of blood-sucking mosquitoes, infected with larvae of dirofilaria. The disease in patient Kh., 64 years old, manifested itself in the form of dense tumor of the left infraorbital area, which appeared about a year ago. From the anamnesis of the disease it was found out that he did not leave the territory of Bashkortostan. The patient noted a double inflammation of the soft tissues in the area of the dense tumor. After hospitalization into the department of maxillofacial surgery with the diagnosis "Fibroma of the left infraorbital region" surgical intervention was performed under local anesthesia. The operating finding was filamentous round worm about 10 cm long, about 1 mm wide. The helminth identification was carried out at the Department of Infectious Diseases of the Bashkir State Medical University. A nematode of the genus Dirofilaria was identified. Two months after the patient's discharge from hospital in February 2017 we identified the second case of dirofilariasis in a patient Sh., 27 years old, localized in the right buccal region. In the preoperative period, the patient underwent an ultrasound of the tumor. The study did not diagnose helminthiasis. Dirofilaria was another operational finding.