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Microfilariae in association with other diseases. A report of six cases
Kumud Gupta1, Anjali Sehgal, Man Mohan Puri
1Departments of Pathology, Tuberculosis and Chest Medicine and of Medicine, Lala Ram Sarup Institute of Tuberculosis and Allied Diseases, New Delhi, India. gkumud@hotmail.com
Background:
Lymphatic filariasis is a major public health problem in tropical countries. Earlier reports have reported microfilariae as an incidental finding in body fluids and fine needle aspiration smears from various sites.
Cases:
The findings of body fluid cytology and fine needle aspiration smears from six patients with microfilariae in association with other conditions--tubercular pleural effusion/lymphadenitis, pregnancy and non-Hodgkin's lymphoma--are presented. Three patients demonstrated an associated eosinophilic cellular exudate. Adherence of inflammatory cells to microfilariae was seen in two patients.
Conclusion:
Although microfilariae in cytologic smears are considered incidental findings, the association of microfilariae with debilitating conditions suggests that it is an opportunistic infection and needs further study.