An unusual presentation of Filariasis as upper arm cystic swelling – cytological diagnosis: A rare case report
Journal Title: INTERNATIONAL JOURNAL OF RECENT TRENDS IN SCIENCE AND TECHNOLOGY - Year 2011, Vol 1, Issue 2
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.
Authors and Affiliations
R Hanmante, U Mane, Vishwapriya , Suvernakar
Keywords
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