Diagnostic Identification and Differentiation of Microfilariae

J Clin Microbiol. 2019 Sep 24;57(10):e00706-19. doi: 10.1128/JCM.00706-19. Print 2019 Oct.

Abstract

The morphologic similarities of the microfilariae and their infrequency in clinical specimens in settings of endemicity present challenges to clinical laboratories in maintaining competence for accurate identification and differentiation. We present here a review of the primary filarial nematodes causing human infection, including an illustrated key, which we hope will improve the diagnostic capabilities of hematologists, microbiologists, medical technologists, and similarly qualified laboratorians.

Keywords: Brugia; Loa; Mansonella; Onchocerca; Wuchereria; filariasis; microfilariae.

Publication types

  • Review

MeSH terms

  • Animals
  • Humans
  • Immunoassay
  • Life Cycle Stages
  • Microfilariae* / classification
  • Microfilariae* / growth & development
  • Microfilariae* / isolation & purification
  • Microscopy
  • Molecular Diagnostic Techniques
  • Nematode Infections / diagnosis*
  • Nematode Infections / drug therapy
  • Nematode Infections / epidemiology
  • Nematode Infections / parasitology*
  • Specimen Handling