Case 27 — Heartworm Tests

SNAP Heartworm Antigen Test

SNAP heartworm antigen test showing positive control, low worm burden, and high worm burden spots all turning blue, indicating a heavy heartworm infestation.
SNAP heartworm antigen test.

This antigen test has three possible “spots” that will turn blue upon addition of blood, plasma, or serum to the “well” to the right. The blue spot that is furthest to the right in this picture is the positive control. If it doesn’t turn blue, something is wrong with the test or testing methodology. The blue spot to the left of the positive control and toward the bottom lights up whenever there is a significant concentration of heartworm antigen present. The blue spot directly above this spot only turns blue when the antigen concentration is high.

Difil Filter Test for Detecting Microfilariae

Difil filter test showing microfilariae on the filter, confirming circulating Dirofilaria immitis larvae.
Difil filter test positive for microfilariae.

Quiz

1. What is your diagnosis?

2. Based on the antigen test, how severe is the infestation?