case_images: PMC8592590_01
case_images: Progressive erythema of the left periorbital area. 1, 2, and 3 March 2018.
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case_images: A week later, the pain and discomfort regressed, leaving a small nodule above the left eyelid, with intermittent redness (Figure 1).
case_images: Progression after initiation of oral penicillin. Initially the forehead swelled, accompanied by generalized oedema of the face and the appearance of a red protrusion in the same area.
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case_images: Five months later, a small 1.5 x 1 cm well-defined, firm nodule developed in the mid-forehead (Figure 2).
case_images: An ultrasound image of the motile nematode.
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case_images: High-resolution ultrasound imaging was then performed which revealed a hypoechoic clarification with a nematode-like structure (Figure 3).
case_images: Images (A, B) showing fragments of the Dirofilaria nematode being removed from the erupted nodule.
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case_images: At home, the patient removed nematode fragments measuring approximately 7-8 cm in total (Figure 4(A,B)).
case_images: Schematic illustration of the timeline from onset of symptoms. Michelle Alexandra Mistry .
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case_images: Under local anaesthesia, an 8-mm incision was made above the tip of the erupted defect, and remnants were sent for microbiological examination (Figure 5).