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A case of dirofilariasis simulating a calcaneal spur

DOI: https://doi.org/10.29296/25877305-2019-10-15
Issue: 
10
Year: 
2019

Professor N. Vatutin(1, 2), MD; G. Taradin(1, 2), Candidate of Medical Sciences; I. Tov(1), Candidate of Medical Sciences; E. Gasendich(1); G. Nagornaya(3); Yu. Fadeeva(1); N. Kanana(1), Candidate of Medical Sciences 1-M.Gorky Donetsk National Medical University, Donetsk, Donetsk People’s Republic/Ukraine 2-V.K. Gusak Institute of Emergency and Restorative Surgery, Donetsk, Donetsk People’s Republic/Ukraine 3-Donetsk City Center, Republican Center for Sanitary and Epidemiological Surveillance, Ministry of Health, Donetsk, Donetsk People’s Republic/Ukraine

The paper describes a case of detection of Dirofilaria in the left heel of a 60-year-old man. Before going to the clinic, the patient had experienced leg pain for more than a month, which required self-treatment and later (according to the advice of a physician who presumed a heel spur in the patient), rubbed diclofenac ointment into and had novocaine electrophoresis sessions to the area of the left heel without any effect. After admitting to the clinic and consulting a surgeon, the patient was suspected of having a soft tissue abscess that was incised. Wound revision revealed a living foreign body that was removed and turned out to be a female Dirophilaria repens worm. The postoperative period was uneventful.

Keywords: 
dirofilariasis
Dirophilaria repens
localization
diagnosis
heel lesion
helminthiasis



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