Skip directly to site content Skip directly to page options Skip directly to A-Z link Skip directly to A-Z link Skip directly to A-Z link

Disclaimer: Early release articles are not considered as final versions. Any changes will be reflected in the online version in the month the article is officially released.

Volume 31, Number 9—September 2025

Research Letter

Characterization of Emerging Human Dirofilaria repens Infections, Estonia, 2023

Kalev Nõupuu, Maare Mõtsküla, Riina Pulges, Mikk Pauklin, and Urmas SaarmaComments to Author 
Author affiliation: Tartu University Hospital, Tartu, Estonia (K. Nõupuu, R. Pulges, M. Pauklin); Estonian University of Life Sciences, Tartu (M. Mõtsküla); University of Tartu, Tartu (U. Saarma).

Main Article

Figure 2

Distribution map of emerging Dirofilaria repens haplotypes (n = 13) in Europe, including samples from Estonia, 2023. Haplotypes were derived from the median joining network analysis (left), illustrating relationships of D. repens isolates (n = 39) from Estonia and other countries. We established relationships on the basis of partial mtDNA cox1 gene sequence variation (570 bp). The circled number is the haplotype identification number. Red circles represent haplotypes with unique sequences. Haplotypes represented by >2 are in different colors. Each crossed bar equates to a single-nucleotide polymorphism differentiating the haplotypes. Of note, the human isolate In2 from Estonia has a unique haplotype 1, which is closely related to the central haplotype 2, reported previously in D. repens isolates from humans, dogs, and mosquitoes in various countries (Appendix Table 2). mtDNA, mitochondrial DNA.

Figure 2. Distribution map of emerging Dirofilaria repens haplotypes (n = 13) in Europe, including samples from Estonia, 2023. Haplotypes were derived from the median joining network analysis (left), illustrating relationships of D. repens isolates (n = 39) from Estonia and other countries. We established relationships on the basis of partial mtDNA cox1 gene sequence variation (570 bp). The circled number is the haplotype identification number. Red circles represent haplotypes with unique sequences. Haplotypes represented by >2 are in different colors. Each crossed bar equates to a single-nucleotide polymorphism differentiating the haplotypes. Of note, the human isolate In2 from Estonia has a unique haplotype 1, which is closely related to the central haplotype 2, reported previously in D. repens isolates from humans, dogs, and mosquitoes in various countries (Appendix Table 2). mtDNA, mitochondrial DNA.

Main Article

Page created: July 09, 2025
Page updated: August 19, 2025
Page reviewed: August 19, 2025
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
file_external