11/32. breast filariasis diagnosed by needle aspiration cytology. A case of nodular lesion of the breast in a 37 year old female caused by filariasis is described. The case is instructive since the diagnosis was made by fine-needle aspiration cytology. ( info) |
12/32. filariasis in a child from southern turkey: a case report. filariasis is a parasitic condition in which the lymphatic system is invaded by filarial nematodes. The initial signs are those of lymphangitis and lymphadenitis. The manifestations include edema in the extremities and elephantiasis due to lymphatic obstruction. filariasis is endemic to most parts of the world, but occurs only sporadically in turkey. This report describes a case of filariasis in a child who presented with fever and extensive lower-extremity edema. ( info) |
13/32. Asymptomatic eosinophilic myocarditis: 2 2 = 4 or 5! A twenty-eight year old man was admitted with a cerebrovascular accident and hypereosinophilia secondary to microfilarial infection. Endomyocardial biopsy revealed focal eosinophilic myocarditis. The intriguing presence of this asymptomatic myocarditis raises interesting possibilities. ( info) |
14/32. Filarial elephantiasis of penis: a crippling manifestation. Filarial involvement of penis in endemic areas is not an uncommon entity. In the late stage it may lead to crippling "ramhorn" penis. A case of filarial penis is presented which was successfully managed by split thickness free graft. ( info) |
15/32. Cytologic diagnosis of bancroftian filariasis in a nonendemic area. Parasitic infections are common in the developing countries, but the cytologic diagnosis of such infections is infrequent or rare. This paper presents four cases of filariasis caused by wuchereria bancrofti diagnosed by cytologic examination and discusses some unusual observations. The finding of microfilariae in pleural fluid in the absence of the classic symptoms and signs of tropical pulmonary eosinophilia is highlighted. In two patients, nocturnal microfilaremia could not be demonstrated despite Nuclepore filtration, thus suggesting the possible merits of cytology in the primary diagnosis of a filarial infection. Even the diethylcarbamazine provocative test failed to elicit a peripheral microfilaremia in one patient, further emphasizing the importance of cytology as a diagnostic method in amicrofilaremic infections. attention is drawn to the need for a high index of suspicion on the part of the cytologist in the identification of parasitic organisms in material from high-risk groups to achieve an early diagnosis of such infections and the prompt institution of appropriate chemotherapy. This may obviate the more serious pathologic changes of advanced disease, especially the disfigurement of chronic and late filariasis. ( info) |
| filariasis of the breast is usually seen in endemic areas. Involvement may, however, present years after leaving an endemic area and be associated with circulating microfilariae. We describe the findings in a woman who developed a breast mass three years after a visit to her native india. ( info) |
17/32. Microfilariae in fine needle aspirates from epididymal lesions. Microfilariae of wuchereria bancrofti were observed in fine needle aspiration smears from three epididymal nodules, and degenerating microfilariae suggestive of brugia malayi were found in the smears from a fourth case. The smears in all four cases showed a polymorphonuclear inflammatory cell component as well as epithelioid cell granulomata. While blood eosinophilia was present in all four cases, eosinophilia was present in the aspiration smears in only one case. Microfilariae could be demonstrated in the peripheral blood in only one case. ( info) |
| Genitourinary filariasis is a well-known entity in most tropical areas. However, filariasis cannot be eliminated from the differential diagnosis of testicular, epididymal, or spermatic cord masses in nontropical climes. We report a case of filariasis of the spermatic cord that manifested as an unexplained scrotal mass in a patient in Rochester, minnesota. ( info) |
19/32. North American brugian filariasis: report of nine infections of humans. Nine people living in rhode island, new york, pennsylvania, florida, or california acquired autochthonous brugian filariasis. Each patient had an enlarged lymph node containing a single worm or, in one patient, a pair of worms. Most worms were in lymphatic vessels within the node, but two worms were in the substance of the node. Ten worms were studied, seven female and three male. female worms contained paired uteri that occupied most of the body cavity of the worm, and male worms contained a single reproductive tract. No worms were gravid. The diameter of the worms was small, 30 micron to 75 micron. The usual diameter of female worms was 65 micron to 75 micron, and 45 micron to 50 micron for male worms. The morphologic features of these worms, their anatomical location, and their geographic distribution are all characteristic of infection with a North American Brugia species. ( info) |
| A case of a 19-year-old inhabitant of Southern india with chronic filarial lymphedema of the right leg and subsequent lymphangiosarcoma is reported. Two additional cases of lymphangiosarcoma occurring in patients with filarial lymphedema are reviewed from the literature. ( info) |