An Unusual Presentation of Filariasis

Garbyal, Rajendra Singh; Arundhati,; Bohra, Anshu; Bhujun, Kissonwttee H.

doi:10.1159/000325481

Cited by 9 publications

(6 citation statements)

References 2 publications

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“…Filariasis may present as single or multiple nodules in subcutaneous location. Garbyal et al reported an unusual presentation of filariasis, in which the parasite presented as chain of intermittent, firm swelling in both arms in a 30‐year‐old man 15. In our study; however, the subcutaneous nodules at different sites containing the parasite were single.…”

Section: Discussioncontrasting

confidence: 65%

Incidental detection of filaria in fine‐needle aspirates: A cytologic study of 14 clinically unsuspected cases at different sites

Mondal

2010

Diagnostic Cytopathology

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Filariasis is a major health problem in tropical countries like India. Detection of microfilariae or adult worm or egg in FNAC is very unusual despite the high incidence of this parasite in endemic zone. The aim of this study was to document the value of fine-needle aspiration cytology (FNAC) in diagnosis of filaria at all possible sites presenting as mass or swelling. Fourteen patients (nine males and five females) in the age range of 14-61 years were subjected to FNAC. FNA from swellings was done using 22-gauge needles fitted with 10 or 20 ml disposable plastic syringes. The slides were stained with May-Grunwald-Giemsa stain, Haematoxylin and Eosin (H&E) stain, and Papanicolaou (Pap) stain. In total, 14 cases of filariasis were detected, which included subcutaneous swellings (six cases), epididymis/spermatic cord nodules (four cases), breast lumps (two cases), lymph nodes (one case), and thyroid swelling (one case). Larvae (microfilariae), eggs, and adult worms were detected in cytological smears. Microfilaria was present in all 14 cases whereas adult worm was found in three cases only. In four cases, eggs were seen in the smears. None of the patients was microfilariaemic and significant eosinophilia (>10%) was seen seen in two patients. Filarisis should be considered as one of the differential diagnosis of swelling in endemic area. Identification of the parasite, Wuchereria bancrofti, in FNA smears and accurate diagnosis of filaria is important to employ proper treatment. Early diagnosis and treatment prevents the more severe manifestation of the disease, lymphatic filariasis.

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Section: Discussioncontrasting

confidence: 65%

Incidental detection of filaria in fine‐needle aspirates: A cytologic study of 14 clinically unsuspected cases at different sites

Mondal

2010

Diagnostic Cytopathology

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“…[1] Its typical presentation are elephantiasis, chronic lymphoedema, epididymitis, funiculitis and lymphadenitis. [12] In spite of a large number of such lesions diagnosed on cytology, it is unusual to find adult filarial worms.…”

mentioning

confidence: 99%

Lymphatic filariasis: Aspiration of adult gravid female worm from a soft tissue swelling

Azad

Arora

Gupta

et al. 2010

J Cytol

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“…Surrounding host tissue reaction probably led to the development of a well-defined cystic swelling containing multiple microfilariae. Filariasis rarely presents as cystic swelling 5 6 9 17 18. Eosinophilia resulting from filariasis may be attributed erroneously to coexistent pathologies 16…”

Section: Discussionmentioning

confidence: 99%

Role of fine needle aspiration cytology in diagnosing filarial arm cysts

Tandon

Bansal²,

Sharma

et al. 2013

BMJ Case Reports

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SUMMARYFilariasis is prevalent in tropical and subtropical areas and is endemic in regions of India. Lymphatic filariasis in India is caused mainly by two species of nematodes: Wuchereria bancrofti and Brugia malayi, which invade the human lymphatic system. We report two cases of superficial cystic lesions of the upper limb revealed on fine needle aspiration (FNA) to be clinically unsuspected filariasis. Despite similar aetiologies, both cases revealed variations in aspirate nature, smear morphology and peripheral blood findings. FNA provides definitive diagnosis and is an important tool for diagnosing soft tissue swellings owing to filariasis. BACKGROUND

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An Unusual Presentation of Filariasis

Cited by 9 publications

References 2 publications

Incidental detection of filaria in fine‐needle aspirates: A cytologic study of 14 clinically unsuspected cases at different sites

Incidental detection of filaria in fine‐needle aspirates: A cytologic study of 14 clinically unsuspected cases at different sites

Lymphatic filariasis: Aspiration of adult gravid female worm from a soft tissue swelling

Role of fine needle aspiration cytology in diagnosing filarial arm cysts

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