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Chronic elephantiasis. A case report

B Richman1, G Young

  • 1Veterans Affairs/Doxey-Hatch Medical Center, Salt Lake City, UT 84148, USA.

Journal of the American Podiatric Medical Association
|May 1, 1995
PubMed
Summary
This summary is machine-generated.

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This case study details a rare instance of chronic lower extremity elephantiasis caused by lymphatic filariasis, a condition contracted during World War II. The patient received ongoing podiatric care but ultimately succumbed to unrelated comorbidities.

Area of Science:

  • Tropical Medicine
  • Infectious Diseases
  • Podiatric Medicine

Background:

  • Lymphatic filariasis is a neglected tropical disease causing severe disfigurement and disability.
  • Chronic elephantiasis of the lower extremities can result from prolonged filarial infection.
  • World War II service members were potentially exposed to endemic filariasis in various theaters.

Observation:

  • A rare case of chronic elephantiasis affecting the lower extremities is presented.
  • The patient contracted lymphatic filariasis during World War II service.
  • The Veterans Affairs podiatry department provided regular wound care for the patient's condition.

Findings:

  • The patient's chronic elephantiasis was a long-term sequela of lymphatic filariasis.

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  • Despite consistent local wound care, the elephantiasis persisted.
  • The patient's cause of death was congestive heart failure and pneumonia, not directly filariasis.

    • Implications:

    • This case highlights the chronic and debilitating nature of lymphatic filariasis.
    • It underscores the importance of long-term management for filariasis-induced lymphedema.
    • Understanding historical exposures is crucial for diagnosing filariasis in veteran populations.