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[Mediastinal lymphatic filariasis].

R Soulard1, J Guigay, X Legal De Kerangal

  • 1Service d'anatomie pathologique, Hôpital d'Instruction des Armees Percy, France.

Annales De Pathologie
|February 20, 2002
PubMed
Summary

A rare case of adult Wuchereria bancrofti worms found in a mediastinal lymph node highlights the importance of histopathology in diagnosing filariasis, even without typical blood markers. The co-occurrence with lung cancer was coincidental.

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Area of Science:

  • Medical Parasitology
  • Oncology
  • Histopathology

Background:

  • Filariasis, a parasitic disease caused by Wuchereria bancrofti, typically affects lymphatic systems.
  • Co-infection with filariasis and neoplastic diseases is uncommon.
  • Diagnosis of filariasis often relies on detecting microfilariae in blood or characteristic lymphatic changes.

Observation:

  • A 76-year-old male patient presented with lung carcinoma.
  • Gravid adult female Wuchereria bancrofti worms were identified within a mediastinal lymph node during examination.
  • Blood analysis revealed no eosinophilia, and nocturnal blood smears were negative for microfilariae.

Findings:

  • The presence of adult Wuchereria bancrofti in a mediastinal lymph node is a rare histopathological finding.

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  • Absence of microfilariae in blood samples and eosinophilia suggests a non-classical presentation of filariasis.
  • The co-occurrence of filariasis and lung carcinoma in this patient was determined to be coincidental.

    • Implications:

    • This case underscores the diagnostic value of histopathological examination for adult filariasis, especially in atypical presentations.
    • It emphasizes that filariasis and neoplasm associations should be carefully evaluated for coincidence rather than direct causality.
    • Further research into the epidemiological and histopathological nuances of adult filariasis is warranted.