All of the filarial worms are found in blood except ?
## **Core Concept**
The filarial worms are a group of parasitic nematodes that cause filariasis, a disease spread by mosquitoes. These parasites have different tissue tropisms and can be found in various body fluids or tissues, including blood and lymphatic vessels.
## **Why the Correct Answer is Right**
The correct answer, *D. Dirofilaria*, is a filarial worm that primarily resides in the pulmonary arteries and right heart of dogs and other animals, not typically in human blood in a way that's relevant for the other filarial infections causing lymphatic filariasis. However, it's worth noting that *Dirofilaria* species can occasionally cause human infections, leading to pulmonary dirofilariasis, but they are not typically found circulating in human blood like the other filarial parasites listed.
## **Why Each Wrong Option is Incorrect**
* **Option A:** *Wuchereria bancrofti* is a filarial worm that causes lymphatic filariasis and is found in the blood. It inhabits the lymphatic vessels and can be detected in the peripheral blood, especially at night (nocturnal periodicity).
* **Option B:** *Brugia malayi* and *Brugia timori* are also filarial parasites causing lymphatic filariasis and are found in the blood, showing nocturnal periodicity.
* **Option C:** *Onchocerca volvulus* causes onchocerciasis or river blindness. Although it doesn't circulate freely in blood like the others, its microfilariae are found in the skin and eyes, but not typically described as being in the blood.
## **Clinical Pearl / High-Yield Fact**
A key point to remember is that the microfilariae of *Wuchereria bancrofti*, *Brugia malayi*, and *Brugia timori* exhibit nocturnal periodicity, meaning they are more frequently found in the peripheral blood at night. This is a classic feature used in the diagnosis of lymphatic filariasis.
## **Correct Answer:** D. Dirofilaria.