Filariasis is major public health hazard particularly in tropical countries like India. The presence of microfilaria using fine needle aspiration cytology has been reported from various sites. However, the presence of the adult gravid filarial worm with a surrounding host response has rarely been reported on breast aspirates. Here, we report a unique case in which aspiration cytology from a breast lump clinically suspicious of fibroadenosis of the breast, showed adult filarial worms with numerous microfilariae and a granulomatous inflammatory host response. The filarial worm appears to be ubiquitous in endemic areas, and the presence of an unexplained granulomatous lesion in breast should prompt a careful consideration of the filarial etiology in our country. Therapy with diethylcarbamazine, albendazole, and antibiotics are sufficient for treatment of this type of lesion.

Adrenal myelolipomas are functionally inactive, rare adrenal tumors which are usually small in size and are discovered incidentally. Giant symptomatic myelolipomas have rarely been reported in medical literature. Here, we describe the case of a 40-year-old female patient who presented to the surgical outpatient department with left flank pain. An ultrasonogram of the abdomen suggested a large retroperitoneal tumor which was then surgically resected. Histopathological examination of the resected specimen revealed a giant adrenal myelolipoma with intratumoral hemorrhage. The patient was relieved of symptoms and was free of any complaints in follow-up.

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Tuberculosis is a major cause of morbidity and a persisting public health problem in the developing countries. Testicular tuberculosis particularly in isolated form is extremely rare. We report an unique case of testicular tuberculosis in a 20-year old male patient who presented in a painless right testicular swelling and whose clinical, radiological and biochemical parameters indicated a germ cell tumor. However, the histopathology revealed a tubercular lesion underlining the necessity of an element of suspicion for tuberculosis even in testicular swellings particularly in the developing countries. 2015;5(2): 76-78 J Microbiol Infect Dis

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