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Extralymphatic Filariasis.

Padmapriya Srinivasan1, Rahul Ray1, Sridhar Jandhyala1

  • 1Department of Dermatology, Institute of Naval Medicine (INHS Asvini), Mumbai, Maharashtra, India.

Indian Dermatology Online Journal
|January 29, 2024
PubMed
Summary
This summary is machine-generated.

Filariasis, a nematode infection, can cause rare extralymphatic swelling. Early diagnosis of atypical presentations like facial swelling is crucial for effective treatment.

Keywords:
Extralymphatic filariasisfilarial dance signsubcutaneous filariasis

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Area of Science:

  • Medical Parasitology
  • Tropical Medicine
  • Diagnostic Imaging

Background:

  • Filariasis commonly affects lymphatic vessels, leading to lymphedema and lymphadenitis.
  • Extralymphatic filariasis, though rare, can manifest in unusual locations such as skin and soft tissues.
  • Wuchereria bancrofti is a primary nematode responsible for extralymphatic filariasis.

Observation:

  • A case of a 25-year-old male presented with a live, extralymphatic filarial infestation.
  • The infestation manifested as a subcutaneous soft-tissue swelling on the face.
  • Ultrasonography confirmed the condition and revealed the characteristic 'filarial dance sign'.

Findings:

  • The case highlights a rare presentation of filariasis in facial subcutaneous tissue.
  • Ultrasonography proved effective in diagnosing the extralymphatic filarial infestation.
  • The 'filarial dance sign' on USG is indicative of live filarial parasites.

Implications:

  • Awareness of atypical filariasis presentations is vital for clinicians.
  • Prompt diagnosis of extralymphatic filariasis can lead to timely and appropriate treatment.
  • This case underscores the importance of considering parasitic infections in unexplained soft-tissue swellings.