Lymph Node Enlargement in Neck Filariasis as a Rare Cause: A Case Report

Abstract Lymphatic filariasis is endemic to tropical countries and is the most common cause of acquired lymphedema in the world. Wuchereria bancrofti is the main etiological agent responsible. While the presentation of filariasis in limbs is common, isolated presentation as a single enlarged lymph...

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Main Author: Rindu Raveendran
Format: Article
Language:English
Published: Shiraz University of Medical Sciences 2017-09-01
Series:Iranian Journal of Medical Sciences
Subjects:
Online Access:http://ijms.sums.ac.ir/index.php/IJMS/article/view/2842
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author Rindu Raveendran
author_facet Rindu Raveendran
author_sort Rindu Raveendran
collection DOAJ
description Abstract Lymphatic filariasis is endemic to tropical countries and is the most common cause of acquired lymphedema in the world. Wuchereria bancrofti is the main etiological agent responsible. While the presentation of filariasis in limbs is common, isolated presentation as a single enlarged lymph node in the neck is very rare. We describe a 48-year-old Indian woman, who presented with a hard lymph node in the neck. There was no other significant lymph node enlargement. The overlying skin was erythematous, and no other findings were present on examination. Ultrasonography of the neck revealed a single enlarged lymph node in the left level 2 region, and fine-needle aspiration cytology showed microfilariae with surrounding inflammatory infiltrate. The patient was started on oral diethylcarbamazine and after 2 weeks of therapy, the lymph node enlargement in the neck subsided and the erythema was relieved.
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spelling doaj.art-455fd4de77da4bb28e1f71c80af443852022-12-21T21:21:11ZengShiraz University of Medical SciencesIranian Journal of Medical Sciences0253-07161735-36882017-09-01425493496Lymph Node Enlargement in Neck Filariasis as a Rare Cause: A Case ReportRindu Raveendran0Department of ENT, Kannur Medical College, Anjarakandy, Kerala, IndiaAbstract Lymphatic filariasis is endemic to tropical countries and is the most common cause of acquired lymphedema in the world. Wuchereria bancrofti is the main etiological agent responsible. While the presentation of filariasis in limbs is common, isolated presentation as a single enlarged lymph node in the neck is very rare. We describe a 48-year-old Indian woman, who presented with a hard lymph node in the neck. There was no other significant lymph node enlargement. The overlying skin was erythematous, and no other findings were present on examination. Ultrasonography of the neck revealed a single enlarged lymph node in the left level 2 region, and fine-needle aspiration cytology showed microfilariae with surrounding inflammatory infiltrate. The patient was started on oral diethylcarbamazine and after 2 weeks of therapy, the lymph node enlargement in the neck subsided and the erythema was relieved.http://ijms.sums.ac.ir/index.php/IJMS/article/view/2842LymphadenopathyLymph node enlargementFilariasisNeck
spellingShingle Rindu Raveendran
Lymph Node Enlargement in Neck Filariasis as a Rare Cause: A Case Report
Iranian Journal of Medical Sciences
Lymphadenopathy
Lymph node enlargement
Filariasis
Neck
title Lymph Node Enlargement in Neck Filariasis as a Rare Cause: A Case Report
title_full Lymph Node Enlargement in Neck Filariasis as a Rare Cause: A Case Report
title_fullStr Lymph Node Enlargement in Neck Filariasis as a Rare Cause: A Case Report
title_full_unstemmed Lymph Node Enlargement in Neck Filariasis as a Rare Cause: A Case Report
title_short Lymph Node Enlargement in Neck Filariasis as a Rare Cause: A Case Report
title_sort lymph node enlargement in neck filariasis as a rare cause a case report
topic Lymphadenopathy
Lymph node enlargement
Filariasis
Neck
url http://ijms.sums.ac.ir/index.php/IJMS/article/view/2842
work_keys_str_mv AT rinduraveendran lymphnodeenlargementinneckfilariasisasararecauseacasereport