#idboardreview 45 F w/ 1 cm nodule located near a scar from a previous mastectomy. +travel to several western & central European countries within the past year. The nodule was removed and tissue sections shown. Dx? #medEd #idmedEd #IDtwitter
#Dirofilaria likely repens based on travel history cdc.gov/dpdx/dirofilar…
#dirofilaria #repens
-definitive hosts include primarily wild and domestic canids, and occasionally felids
-various mosquito vectors from the genera Aedes, Culex, and Anopheles
#dirofilaria #repens exclusive to Old World, infecting 🐕 🐈 across Europe, Asia, Africa. In Europe, Mediterranean region is considered highly endemic (expanding with transmission has been documented as far north as Finland and East into European Russia)
#dirofilaria clinical presentation subcutaneous nodules: often tender, may be fixed or migratory. -occur in various locations mostly exposed area e.g. scalp, arms, legs, eyelids, chest) but occasionally in deeper tissue such as breast, epididymis, spermatic cord, subconjunctiva.

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