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1Assistant
Professor, Dr Shankarrao Chavan Government Medical College, Nanded (MS)
INDIA.
2Assistant
Professor, Dr Shankarrao Chavan Government Medical College, Nanded (MS)
INDIA.
3Resident
Dept. of Pathology, Dr Shankarrao Chavan Government Medical College,
Nanded (MS) INDIA.
4Associate
Professor, Dr Shankarrao Chavan Government Medical College, Nanded (MS)
INDIA.
Academic Editor: Dr.
Pawar D.D.
Filariasis is endemic
in parts of Latin America, Sub-Saharan Africa and South East Asia. It is
caused by nematodes, Wuchereria bancrofti and Brugia malayi and it is
transmitted by mosquitoes. In endemic areas, Filariasis causes a
spectrum of diseases including 1) Asymptomatic microfilaremia, 2)
Chronic lymphadenitis with swelling of the dependant limb or scrotum
(elephantiasis), 3) Tropical pulmonary eosinophilia.
Hereby presenting the
case of Filariasis with rare presentation i.e. upper arm cystic
swelling.
A 30 years male
patient came to pathology OPD at Dr Shankar Chavan Government Medical
College Nanded for FNAC, with the history of swelling in the left
armpit, which was cystic in nature, since 1 month. FNAC of the swelling
done under all aseptic precaution. The 2 ml straw coloured fluid was
aspirated and swelling completely disappears after aspiration.
The fluid was
centrifuged. At the bottom of the test-tube clumps of motile, whitish
coloured, worms seen. Then wet mount preparation of the fluid studied,
which shows many motile microfilaria.
The routine H&E
stained smears were studied which also shows the microfilaria.
No other abnormality
noted.
Thus, Filariasis can
presents as upper arm cystic swelling which is unusual presentation.
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