Lymphatic Filariasis Presenting as Asymptomatic Unilateral Inguinal Swelling
Abstract
Filariasis is endemic in the tropical areas of the world including India. Its common presentation is lymphadenopathy limited to groin and femoral triangle of thigh and also as filarial lymphoedema of legs. The finding rate of microfilaria worm has been reported to be only 0.078% of all samples from lymph node swellings which is rare. Conventional diagnostic investigations include the detection of microfilaria in the blood while in this case it was detected also in FNAC and again confirmed by excision biopsy of inguinal lymph node. Here we report a young female having asymptomatic unilateral inguinal swelling demonstrating lymphatic filariasis.
References
Matthews KR. Controlling and coordinating development in vector-transmitted parasites. Science 2011; 331:
-1153.
Singh S, Dhariwal AC, Bora D et al. Status of lymphatic filariasis in Lucknow District, Uttar Pradesh. J Commun
Dis 2009; 41(1): 39-44.
Hidalgo ER, GarcÃa-Moreno AL, González EB et al. Surgical treatment in a case of giant scrotal lymphedema. Arch Esp Urol 2011; 64(2): 121-124.
WHO Lymphatic Filariasis. Available from: http://www.who.int/mediacentre/factsheets/fs102/en/. 2014. Last
accessed on 2014; 11.
Raju K, Jambulingam P, Sabesan S et al. Lymphatic filariasis in India: epidemiology and control measures.
J Postgrad Med 2010; 56(3): 232-238.
Bain O, Babayan S. Behaviour of filariae: Morphological and anatomical signatures of their life style within the
arthropod and vertebrate hosts. Filaria J 2003; 2(1): 16.
Simonsen PE, Mwakitalu ME. Urban lymphatic filariasis. Parasitol Res 2013; 112: 35-44.
Babu S, Nutman TB. Immunopathogenesis of lymphatic filarial disease. Semin Immunopathol 2012; 34(6):
-861.
Filariasis PE. Diagnosis, treatment and prevention. Acta Biomed 2008; 79(2): 106-109.
Khare P, Kala P, Jha A et al. Incidental diagnosis of filariasis in superficial location by FNAC: A retrospective
study of 10 years. J Clin Diagn Res 2014; 8(12): FC05-FC08.
SK, Mishra RK, Verma P. Cytological diagnosis of microfilariae in filariasis endemic areas of eastern
Uttar Pradesh. J Cytol 2009; 26(1): 11-14.
Dakshinamoorthy G, Samykutty AK, Munirathinam G, et al. Multivalent fusion protein vaccine for lymphatic
filariasis. Vaccine 2013; 31: 1616-1622.
