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International Journal of Recent Trends in Science and Technology, E-ISSN: 2249-8109

 

 Volume 1, Issue 2, 2011 pp 86-90

 

Date of Publish: 26 November 2011

 

Research Article

 

An unusual presentation of Filariasis as upper arm cystic swelling cytological diagnosis: A rare case report

 

 

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.

Abstract

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.