Dirofilaria hongkongensis infection presenting as recurrent shoulder mass

In 2012, a novel canine Dirofilaria species, D. hongkongensis was identified in Hong Kong that caused human diseases and subsequently reported in an Austrian traveller returning from the Indian subcontinent. Here we present a case of human infection by D. hongkongensis manifested as recurrent shoulder mass. Diagnosis was achieved by cox1 gene sequencing of the excised specimen. The case illustrated that parasitic infection represents an important differential diagnosis for musculoskeletal lesions.

Fine needle aspiration cytologic diagnosis of toxoplasma lymphadenitis. A case report with detection of a Toxoplasma bradycyst in a Papanicolaou-stained smear

BACKGROUND

Fine needle aspiration (FNA) cytologic diagnosis of toxoplasmic lymphadenitis with demonstration of a tissue cyst containing bradyzoites has been very rarely reported.

CASE

A 17-year-old female presented with a mobile, painless, 2-cm-diameter swelling over the right suprascapular area. Clinical diagnosis was lipoma. FNA smears showed features of reactive lymphoid hyperplasia, including tingible body macrophages and groups of epithelioid histiocytes. A Toxoplasma cyst with bradyzoites was also demonstrated in a Papanicolaou-stained smear. Following FNA cytodiagnosis, serologic tests revealed a high titer of IgG and the presence of IgM-specific antibodies to Toxoplasma gondii, indicating active/recent disease.

CONCLUSION

FNA cytology is a valuable tool for the diagnosis of toxoplasmic lymphadenitis. Papanicolaou stain is appropriate for demonstration of the parasite. Serology is an excellent adjunct in clinching the diagnosis.

Primary diagnosis of soft tissue echinococcosis by aspiration cytology

A case of hydatid cyst of soft tissue diagnosed by Fine needle aspiration of a cyst is reported. The patient presented with gradually increasing swelling in the anterior-inferior aspect of shoulder. The provisional clinical diagnosis of cold-abscess shoulder was made, patient was referred for Fine needle aspiration cytology (F.N.A.C.). Swelling was aspirated by 23-gauge needle obtaining 1.5 ml of blood-mixed fluid. Smears of fluid showed protoscolices, fully developed scolices with rostellum and scattered hooklets, pathognomonic of Echinococcosis. Histopathologic examination of surgically removed cyst showed chronically inflamed echinococcal cyst. No complication was observed.

Sites of attachment of Karoo paralysis ticks (Ixodes rubicundus) on three cattle breeds

The sites of attachment of female Karoo paralysis ticks (Ixodes rubicundus) were determined on Friesian, Bonsmara and Nguni cattle in the south-western Orange Free State. The largest proportion of the ticks (> 30%) attached to the forelegs and shoulders of the cattle. Contrary to the findings on small stock, no significant differences in the preferred sites of attachment were evident between the breeds of cattle.