An Unusual Presentation of Wuchereria bancrofti infection

Rawat, Vinita; Rizvi, Ghazala; Sharma, Narinder; Pandey, Hari Shankar

doi:10.4103/0255-0857.55442

Cited by 5 publications

(5 citation statements)

References 3 publications

(3 reference statements)

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“…Diagnosis of filariasis can be clinically ascertained in endemic areas but the definitive diagnosis rests on demonstration of microfilariae in the peripheral blood [10]. Because of the nocturnal habit of the parasite night blood samples are ideal or alternatively a sample can be collected after a DEC provocation to increase the chance of getting the parasite.…”

Section: Discussionmentioning

confidence: 99%

Microfilariae in Fine Needle Aspirates From a Coastal District of India: An Experience With Brief Review of Literature

Santosh¹

2017

J Trop Dis

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Filariasis is a major public health problem in tropical countries like India. Conventional diagnosis is by demonstrating microfilariae (MF) in the peripheral blood smear. Nocturnal periodicity of the species endemic in India makes it difficult to find microfilariae in blood. Incidental detection of microfilariae (MF) in fine needle aspiration cytology (FNAC) smears of various sites in clinically unsuspected cases of filariasis without microfilariae in the peripheral blood has been rarely documented in Indian literature. We are reporting interesting detection of MF in 10 aspirates over a period of one year, form various sites as well as lesions ranging from inflammatory to malignancy. This article is intended to highlight that microfilaria can be a finding in clinically unsuspected cases and also without peripheral blood eosinophilia.

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Section: Discussionmentioning

confidence: 99%

Microfilariae in Fine Needle Aspirates From a Coastal District of India: An Experience With Brief Review of Literature

Santosh¹

2017

J Trop Dis

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“…The same has been reported earlier by many authors. [34] This reflects the variability of host response to the parasite. The disease can also be diagnosed by filarial antigen detection.…”

Section: Discussionmentioning

confidence: 99%

Filariasis presenting as a solitary testicular mass

et al. 2019

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In an endemic country like India, the occurrence of filariasis is very common, especially in the states of Uttar Pradesh, Bihar, Jharkhand, Odisha, Andhra Pradesh, and Tamil Nadu. The present study describes the case of a male from a nonendemic state who presented with a testicular lump. Fine-needle aspiration cytology (FNAC) of the lump revealed many adult filarial worms. The appearance of adult filarial worms in different sites, other than lymph nodes and lymphatic vessels, are relatively rarer and should always be reported. Filariasis remains asymptomatic for a long time and responds very well to treatment if diagnosed early. Despite the availability of multiple diagnostic options, FNAC holds a great importance in diagnosing filariasis, especially in cases where there are normal eosinophil counts and no peripheral filarial parasite. Finally, careful examination of cytological smear for the parasite in high-risk groups is helpful in labeling the disease in early asymptomatic states.

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“…[ 6 ] Blood eosinophil counts within normal range, as observed in our case, were reported as well by Rawat et al . [ 7 ] and Varghese et al . [ 8 ] These observations suggest that there is no consistent relationship between filarial infection and blood eosinophilia that in turn reflects the difference in host response to parasite from person-to-person.…”

Section: Discussionmentioning

confidence: 99%

Unusual presentation of filariasis as an abscess: A case report

Ahuja

Pruthi

Gupta

et al. 2016

J Cytol

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Bancroftian filariasis, a tropical and subtropical disease caused by Wuchereria bancrofti, is transmitted by the culex mosquito. The disease is conventionally diagnosed by the demonstration of microfilaria in peripheral blood smear. Microfilaria and adult filarial worms have been incidentally detected in fine needle aspiration cytology (FNAC) in various locations. The disease may be missed if one is not aware of the possibility, particularly in cases where eosinophilia is absent. Therefore, clinicians and pathologists need to be more vigilant in the endemic zones for early diagnosis and the treatment of filariasis. We report here an unusual case of filariasis in a 17-year-old female with a swelling in the lower part of the left arm on the flexor surface. This highlights the chances of finding microfilaria in cytology of an unsuspected case at an unusual site. This case, in addition, stresses the fact that microfilaria may be associated with an abscess even in the absence of eosinophilia.

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An Unusual Presentation of Wuchereria bancrofti infection

Cited by 5 publications

References 3 publications

Microfilariae in Fine Needle Aspirates From a Coastal District of India: An Experience With Brief Review of Literature

Microfilariae in Fine Needle Aspirates From a Coastal District of India: An Experience With Brief Review of Literature

Filariasis presenting as a solitary testicular mass

Unusual presentation of filariasis as an abscess: A case report

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