Ectopic canine dirofilariasis in the abdominal cavity

Case report

Authors

DOI:

https://doi.org/10.31533/pubvet.v20n2e1911

Keywords:

Cardiology, nematode, erratic parasitism

Abstract

We report the incidental finding of a live and intact filariid worm within the abdominal cavity of a mixed-breed female dog, identified during an elective ovariohysterectomy. The patient exhibited no clinical signs compatible with dirofilariasis in the preoperative period, and the medical history revealed no prior chemoprophylaxis or treatment for the infection. The specimen was collected and preserved in 70% ethanol for laboratory analyses. Morphological characterization identified the nematode as a male of Dirofilaria immitis, a diagnosis that was corroborated by molecular analysis based on sequencing of the mitochondrial 12S rDNA gene.

References

Alho, A. M., Meireles, J., Belo, S., & Carvalho, L. M. (2014). Dirofilariose canina e felina, uma parasitose em evolução (I)–etiologia, biologia e epidemiologia. Clínica Animal, 2, 20–25.

Anderson, R. C., Chabaud, A. G., & Willmott, S. (2009). Keys to the nematode parasites of vertebrates: archival volume. Commonwealth Agricultural Bureaux.

Anvari, D., Narouei, E., Daryani, A., Sarvi, S., Moosazadeh, M., Hezarjaribi, H. Z., Narouei, M. R., & Gholami, S. (2020). The global status of Dirofilaria immitis in dogs: a systematic review and meta-analysis based on published articles. Research in Veterinary Science, 131, 104–116. https://doi.org/10.1016/j.rvsc.2020.04.002.

Bendas, A. J. R., Almeida, F. M., Guerrero, J., & Labarthe, N. (2017). Update on Dirofilaria immitis epidemiology in South America and Mexico: Literature review. Brazilian Journal of Veterinary Research and Animal Science, 54(4), 319–329. https://doi.org/10.11606/issn.1678-4456.bjvr.as.2017.132572

Bendas, A. J. R., Branco, A. S., Silva, B. R. S. A., Paiva, J. P., Miranda, M. G. N., Mendes-de-Almeida, F., & Labarthe, N. V. (2019). Mosquito abundance in a Dirofilaria immitis hotspot in the eastern state of Rio de Janeiro, Brazil. Veterinary Parasitology: Regional Studies and Reports, 18, 100320. https://doi.org/10.1016/j.vprsr.2019.100320.

Bobade, P. A., Ojebuooh, P. B., & Akinboade, O. (1981). A case of canine filariasis due to Dipetalonema reconditum (Grassi 1889) in Nigeria. Journal of Small Animal Practice, 22(4), 210–206. https://doi.org/10.1111/j.1748-5827.1981.tb01406.x.

Bowman, D. D., & Mannella, C. (2011). Macrocyclic lactones and Dirofilaria immitis microfilariae. Topics in Companion Animal Medicine, 26(4), 160–172. https://doi.org/10.1053/j.tcam.2011.07.001.

Brito, A. C., Vila-Nova, M. C., Rocha, D. A. M., Costa, L. G., Almeida, W. A. P., Viana, L. S., Lopes Júnior, R. R., Fontes, G., Rocha, E. M. M., & Regis, L. (2001). Prevalência da filariose canina causada por Dirofilaria immitis e Dipetalonema reconditum em Maceió, Alagoas, Brasil. Cadernos de Saúde Pública, 17(6), 1497–1504. https://doi.org/10.1590/s0102-311x2001000600021.

Carvalho, M. P., Vasconcelos, T. C., Monteiro, L. M. V. W., Knackfuss, F. B., & Silva, F. S. A. (2023). Dirofilariose ectópica em um paciente canino assintomático: Relato de caso. PUBVET, 17(12), e1494. https://doi.org/10.31533/pubvet.v17n12e1494.

Casiraghi, M., Anderson, T. J. C., Bandi, C., Bazzocchi, C., & Genchi, C. (2001). A phylogenetic analysis of filarial nematodes: Comparison with the phylogeny of Wolbachia endosymbionts. Parasitology, 122(1), 93. https://doi.org/10.1017/S0031182000007149

Castillo, J. C., Reynolds, S. E., & Eleftherianos, I. (2011). Insect immune responses to nematode parasites. Trends in Parasitology, 27(12), 537–547. https://doi.org/10.1016/j.pt.2011.09.001.

Cavallazzi, R. S., Cavallazzi, A. C., Souza, I. V, & Cardoso, J. J. D. (2002). Dirofilariose pulmonar humana: Relato de sete casos. Jornal de Pneumologia, 28(2), 100–102. https://doi.org/10.1590/s0102-35862002000200007.

Dantas-Torres, F., Lia, R. P., Barbuto, M., Casiraghi, M., Crovace, A., Caligiani, L., Genchi, C., & Otranto, D. (2009). Ocular dirofilariosis by Dirofilaria immitis in a dog: First case report from Europe. Journal of Small Animal Practice, 50(12), 667–669. https://doi.org/10.1111/j.1748-5827.2009.00846.x.

Eberhard, M. L., Daly, J. J., Weinstein, S., & Farris, H. E. (1977). Dirofilaria immitis from the eye of a dog in Arkansas. Journal of Parasitology, 63(6). https://doi.org/10.2307/3279829.

Edgar, Robert C. (2004). “MUSCLE: A multiple sequence alignment method with reduced time and space complexity”. BMC Bioinformatics,5, 1–19.

Engelmann, A. M., Schafer, A. S., Lhamas, C. L., Dornelles, G. L., Cargnelutti, J. F., Ramos, R. A. N., Monteiro, S. G., & Andrade, C. M. (2019). Morphological and molecular identification of Acanthocheilonema reconditum in a canine. Comparative Clinical Pathology, 28(1), 271–274. https://doi.org/10.1007/s00580-018-2859-2.

Furtado, A. P., Melo, F. T. V., Giese, E. G., & Santos, J. N. (2010). Morphological redescription of Dirofilaria immitis. Journal of Parasitology, 96(3), 499–504. https://doi.org/10.1645/GE-2178.1.

Gioia, G., Lecová, L., Genchi, M., Ferri, E., Genchi, C., & Mortarino, M. (2010). Highly sensitive multiplex PCR for simultaneous detection and discrimination of Dirofilaria immitis and Dirofilaria repens in canine peripheral blood. Veterinary Parasitology, 172(1–2), 160–163. https://doi.org/10.1016/j.vetpar.2010.04.027.

Goh, Y. S., Kim, H. M., Alkathiri, B., Chang, H. S., Yoon, Y. M., Lee, S. H., & Park, K. M. (2023). Two cases of ectopic dirofilariasis by Dirofilaria immitis in subconjunctival and subcutaneous tissues in dogs. Parasitology International, 92, 102683. https://doi.org/10.1016/j.parint.2022.102683.

Guindon, S., Dufayard, J. F., Lefort, V., Anisimova, M., Hordijk, W., & Gascuel, O. (2010). New algorithms and methods to estimate maximum-likelihood phylogenies: Assessing the performance of PhyML 3.0. Systematic Biology, 59(3), 307–321. https://doi.org/10.1093/sysbio/syq010.

Hayasaki, M., Ueno, M., Ejima, H., Munakata, A., & Tamura, Y. (2013). A possible port of entry into the eye of dog during erratic canine heartworm (Dirofilaria immitis) parasitism. Journal of Veterinary Medical Science, 75(3), 335–359. https://doi.org/10.1292/jvms.12-0206.

Labarthe, N. V., Paiva, J. P., Reifur, L., Mendes-de-Almeida, F., Merlo, A., Pinto, C. J. C., Juliani, P. S., Almeida, M. A. O., & Alves, L. C. (2014). Updated canine infection rates for Dirofilaria immitis in areas of Brazil previously identified as having a high incidence of heartworm-infected dogs. Parasites & Vectors, 7(1), 1–8. https://doi.org/10.1186/s13071-014-0493-7.

Labarthe, N. V., Willi, L. M. V., Paiva, J. P., Miranda, M. G. N., Zoreck, K., & Almeida, F. M. (2015). Chemoprophylaxis of Dirofilaria immitis (Leidy 1856) infection at a high challenge environment. Parasites & Vectors, 8(1), 1–4. https://doi.org/10.1186/s13071-015-1141-6.

Lefort, V., Longueville, J. E., & Gascuel, O. (2017). SMS: Smart Model Selection in PhyML. Molecular Biology and Evolution, 34(9), 422–424. https://doi.org/10.1093/MOLBEV/MSX149.

Leite, L. C., Luz, E., Cirio, S. M., Leite, M. C., Molinari, H. P., Zadorosnei, A. C. B., Oliveira, T. M. F. S., & Leite, S. C. (2012). Infecção de cães domésticos (Canis lupus familiaris, Linnaeus, 1758) da região metropolitana de Guaratuba, Paraná, Brasil por microfilárias circulantes de Acanthocheilonema reconditum (Grassi, 1899). Semina: Ciências Agrárias, 33(3), 1149–1155. https://doi.org/10.5433/1679-0359.2012v33n3p1149.

Maddison, W., & Maddison, D. (2021). Mesquite: a modular system for evolutionary analysis, Version 3.70. Cretaceous Research, 21.

Meireles, J., Paulos, F., & Serrão, I. (2014). Dirofilariose canina e felina. Revista Portuguesa de Ciências Veterinárias, 109, 70–78.

Miller, M. A., Pfeiffer, W., & Schwartz, T. (2010). Creating the CIPRES Science Gateway for inference of large phylogenetic trees. 2010 Gateway Computing Environments Workshop, GCE 2010. https://doi.org/10.1109/GCE.2010.5676129.

Monteiro, L. M. V. W. (2016). Dirofilaria immitis: Infecção canina em fisionomias distintas e susceptibilidade as lactonas macrocíclicas. Universidade Federal Fluminense.

Moraes, M. F. C. V., Mendes-de-Almeida, F., Abdalla, L., Merlo, A., Paiva, J. P., & Labarthe, N. V. (2016). Selamectin for the prevention of canine Dirofilaria immitis infection: field efficacy in client-owned dogs in a high-risk area. Parasites & Vectors, 9(1), 1–5. https://doi.org/10.1186/s13071-016-1697-9.

Moraes, M. F. D., Pollo, A. S., Marques, K. C., Góis, R. C. S., Ferreira, M. B., Silva, A. M., Lucena, R. B. M., Batista, J. S., Filgueira, K. D., Sellera, F. P., Reche Júnior, A., & Hoppe, E. G. L. (2021). Report of Dirofilaria immitis infection with acute cardiopulmonary complications in a cat from Northeastern Brazil. Brazilian Journal of Veterinary Research and Animal Science, 58, 1–8. https://doi.org/10.11606/ISSN.1678-4456.BJVRAS.2021.186835.

Morchón, R., Carretón, E., González-Miguel, J., & Mellado-Hernández, I. (2012). Heartworm disease (Dirofilaria immitis) and their vectors in Europe - new distribution trends. Frontiers in Physiology, 3 JUN. https://doi.org/10.3389/fphys.2012.00196.

Oh, H. W., Jun, H. K., You, M. J., Hayasaki, M., & Song, K. H. (2008). Ectopic migration of an adult heartworm in a dog with dirofilariasis. Korean Journal of Parasitology, 46(3), 171. https://doi.org/10.3347/kjp.2008.46.3.171.

Oldach, M. S., Gunther-Harrington, C. T., Balsa, I. M., McLarty, E. M., Wakeman, K. A., Phillips, K. L., Honkavaara, J., Visser, L. C., & Stern, J. A. (2018). Aberrant migration and surgical removal of a heartworm (Dirofilaria immitis) from the femoral artery of a cat. Journal of Veterinary Internal Medicine, 32(2), 792–796. https://doi.org/10.1111/jvim.15070.

Patton, S., & Faulkner, C. T. (1992). Prevalence of Dirofilaria immitis and Dipetalonema reconditum infection in dogs: 805 cases (1980-1989). Journal of the American Veterinary Medical Association, 200(10), 1533–1534.

Penezić, A., Selaković, S., Pavlović, I., & Ćirović, D. (2014). First findings and prevalence of adult heartworms (Dirofilaria immitis) in wild carnivores from Serbia. Parasitology Research, 113(9), 3281–3285. https://doi.org/10.1007/s00436-014-3991-9.

Pereira, L. L., Rubim, P. M., Lemos, N. M. O., Alberigi, B. R. S., Bendas, A. J. R., & Santos Filho, M. (2021). Dirofilariose ectópica em paciente canino assintomático: Relato de caso. PUBVET, 15(7), 1–9. https://doi.org/10.31533/pubvet.v15n07a860.1-9.

Pierantozzi, M., Di Giulio, G., Traversa, D., Aste, G., & Di Cesare, A. (2017). Aberrant peritoneal localization of Dirofilaria repens in a dog. Veterinary Parasitology: Regional Studies and Reports, 10, 62–64. https://doi.org/10.1016/j.vprsr.2017.08.002.

Ronquist, F., Teslenko, M., Van Der Mark, P., Ayres, D. L., Darling, A., Höhna, S., Larget, B., Liu, L., Suchard, M. A., & Huelsenbeck, J. P. (2012). MrBayes 3.2: Efficient Bayesian Phylogenetic Inference and Model Choice Across a Large Model Space. Systematic Biology, 61(3), 539.

Silva, M. C. G. (2015). Estudo da dirofilariose canina na região oceânica de Niterói–RJ-Brasil. Universidade Federal Fluminense.

Silva, R. C., & Langoni, H. (2009). Dirofilariose: Zoonose emergente negligenciada. Ciência Rural, 39(5), 1615–1624. https://doi.org/10.1590/s0103-84782009005000062.

Silva, W. I., Gomes, A. R. D., Francisco, M. C., Silva, J. M., Oliveira Filho, H. S., Feitosa, T. F., & Vilela, V. L. R. (2023). Subcutaneous dirofilariasis due to Dirofilaria immitis in a dog in Brazil: First report. Revista Brasileira de Parasitologia Veterinaria, 32(2), e001423. https://doi.org/10.1590/S1984-29612023032.

Silveira, A. R. M. (2018). Dirofilariose canina: Revisão bibliográfica. Escola Universitária Vasco da Gama, Coimbra, Portugal.

Simón, F., Siles-Lucas, M., Morchón, R., González-Miguel, J., Mellado, I., Carretón, E., & Montoya-Alonso, J. A. (2012). Human and animal dirofilariasis: the emergence of a zoonotic mosaic. Clinical Microbiology Reviews, 25(3), 507–544. https://doi.org/10.1128/CMR.00012-12.

Smith, F. W. K., Tilley, L. P., Oyama, M., & Sleeper, M. M. (2015). Manual of canine and feline cardiology-E-Book. Elsevier Health Sciences.

Tilley, L. P. (2008). Manual of canine and feline cardiology. Elsevier Health Sciences.

Trancoso, T. A. L., Lima, N. C., Barbosa, A. S., Leles, D., Fonseca, A. B. M., Labarthe, N. V., Bastos, O. M. P., & Uchôa, C. M. A. (2020). Detection of Dirofilaria immitis using microscopic, serological and molecular techniques among dogs in Cabo Frio, RJ, Brazil. Revista Brasileira de Parasitologia Veterinária, 29(1), 1–12. https://doi.org/10.1590/s1984-29612020009.

Vicente, J. J., Rodrigues, H. O., Gomes, D. C., & Pinto, R. M. (1997). Nematóides do Brasil. Parte V: nematóides de mamíferos. Revista Brasileira de Zoologia, 14(suppl 1), 1. https://doi.org/10.1590/s0101-81751997000500001.

Wixsom, M. J., Green, S. P., Corwin, R. M., & Fritzell, E. K. (1991). Dirofilaria immitis in coyotes and foxes in Missouri. Journal of Wildlife Diseases, 27(1), 166–169. https://doi.org/10.7589/0090-3558-27.1.166.

Wright, I. (2017). Case report: Dirofilaria repens in a canine castrate incision. Companion Animal, 22(6), 316. https://doi.org/10.12968/coan.2017.22.6.316.

Published

2026-02-28

Issue

Section

Medicina veterinária

How to Cite

1.
Souza RP de, Arpon KVA, Silva BE de A, Lemes DS, Maldonado Júnior A, Rubim PMR, et al. Ectopic canine dirofilariasis in the abdominal cavity: Case report. Pubvet [Internet]. 2026 Feb. 28 [cited 2026 Oct. 20];20(02):e1911. Available from: https://ojs.pubvet.com.br/index.php/revista/article/view/4587