mvjrМедицинский вестник Юга РоссииMedical Herald of the South of Russia2219-80752618-7876The Rostov State Medical University10.21886/2219-8075-2026-17-3-94-100mvjr-2169Research ArticleИНФЕКЦИОННЫЕ БОЛЕЗНИINFECTIOUS DISEASESВозможности ультразвуковой диагностики подкожного дирофиляриозаUltrasound diagnostics of superficial (subcutaneous) dirofilariasishttps://orcid.org/0009-0009-8684-3124ГригорчукС. Е.GrigorchukS. E.

Григорчук Святослав Евгеньевич, врач ультразвуковой диагностики высшей категории, генеральный директор

Бронницы

Svyatoslav E. Grigorchuk, Ulstrasound Physician, Highest category in ultrasound diagnostics, General Director

Bronnitsy

grigor_2000@mail.ruhttps://orcid.org/0000-0003-3710-9758ТуркинаО. С.TurkinaO. S.

Туркина Ольга Святославовна, к. биол. н., доцент кафедры нормальной физиологии Института клинической медицины им. Н.В. Склифосовского

Москва

Olga S. Turkina, Cand. Sci. (Biol.), associate professor, department of normal physiology

Moscow

turkina_o_s@staff.sechenov.ruhttps://orcid.org/0000-0003-4869-0576НикенинаЕ. В.NikeninaE. V.

Никенина Екатерина Валерьевна, к. биол. н., ассистент кафедры нормальной физиологии Института клинической медицины им. Н.В. Склифосовского

Москва

Ekaterina V. Nikenina, Cand. Sci. (Biol.), assistant, N.V. Sklifosovsky Institute of Clinical Medicine

Moscow

evnikenina@gmail.comhttps://orcid.org/0009-0008-4566-6312ПреображенскаяУ. С.PreobrazhenskayaU. S.

Преображенская Ульяна Сергеевна, студентка Института клинической медицины имени Н.В. Склифосовского

Москва

Ulyana S. Preobrazhenskaya, student

Moscow

preobrazhenskaya.u@mail.ruhttps://orcid.org/0009-0005-1294-8880МакаровИ. В.MakarovI. V.

Макаров Игорь Валерьевич, студент Института клинической медицины им. Н.В. Склифосовского

Москва

Igor V. Makarov, student

Moscow

dear_makarov@internet.ruМедицинский центр «МедГарант»РоссияMedical Center “MedGarant” LLCRussian FederationФГБОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет)РоссияSechenov First Moscow State Medical UniversityRussian Federation20262209202617394100Copyright © Григорчук С.Е., Туркина О.С., Никенина Е.В., Преображенская У.С., Макаров И.В., 20262026Григорчук С.Е., Туркина О.С., Никенина Е.В., Преображенская У.С., Макаров И.В.Grigorchuk S.E., Turkina O.S., Nikenina E.V., Preobrazhenskaya U.S., Makarov I.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.medicalherald.ru/jour/article/view/2169

Представлено клиническое наблюдение поверхностного дирофиляриоза у мужчины 38 лет с подкожным образованием передней брюшной стенки, демонстрирующее значимую роль ультразвукового исследования в диагностике паразитарных инфекций в условиях растущей заболеваемости. Ключевым диагностическим признаком явилась визуализация подвижных трубчатых структур при длительном УЗИ-сканировании, что позволило заподозрить паразитарную природу образования до хирургического вмешательства. Хирургическое удаление подтвердило наличие нематод рода Dirofilaria, наиболее вероятно D. repens, учитывая подкожную локализацию. Данное наблюдение подчеркивает возрастающую эпидемиологическую значимость дирофиляриоза в России, где заболеваемость существенно выросла за последние десятилетия на фоне развития туризма, климатических изменений и, как следствие, расширения ареалов обитания переносчиков. Работа обосновывает необходимость включения ультразвукового исследования мягких тканей и поверхностных структур в алгоритм диагностики подкожных образований неясной этиологии.

A clinical observation of superficial dirofilariasis in a 38-year-old man with a subcutaneous formation of the anterior abdominal wall is presented, demonstrating the critical role of ultrasound in the diagnosis of parasitic infections in the context of increasing morbidity. The key diagnostic feature was the visualization of mobile tubular structures during long-term ultrasound scanning, which allowed us to suspect a parasitic nature of the lesion before surgical intervention. Surgical removal confirmed the presence of nematodes of the genus Dirofilaria, most likely D. repens, given its subcutaneous location. This case highlights the growing epidemiological significance of dirofilariasis in Russia, where the incidence has increased significantly in recent decades due to the development of tourism, climate change and, as a result, the expansion of carrier habitats. The work substantiates the need to include ultrasound examination of soft tissues and superficial structures in the diagnostic algorithm for subcutaneous formations of unknown etiology.

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The authors declare that there are no conflicts of interest present.