Lymphadenovarix in the axilla – an unusual presentation of filariasis
Author Information
Author(s): Basu Adhish, Sistla Sarath Chandra, Verma Surendra Kumar, Jagdish S
Primary Institution: Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India
Conclusion
The case of axillary lymphadenovarix due to filariasis was successfully treated with diethylcarbamazine, leading to a significant reduction in lymphatic vessel size and disappearance of microfilaremia.
Supporting Evidence
- The patient presented with multiple matted lymph nodes in the left axilla.
- Ultrasound revealed grossly dilated lymphatics without the typical filarial dance sign.
- Fine needle aspiration cytology showed multiple microfilariae in a background of reactive lymphoid cells.
- Treatment with diethylcarbamazine led to a significant reduction in the size of the lymphatic vessels.
Takeaway
A young man had a rare lump in his armpit caused by a type of worm infection, and after taking medicine, the lump got smaller and the worms disappeared from his blood.
Methodology
The diagnosis was made using ultrasound and fine needle aspiration cytology, followed by treatment with diethylcarbamazine.
Limitations
The study is based on a single case report, limiting generalizability.
Participant Demographics
A 21-year-old male manual laborer from Tamil Nadu, India.
Digital Object Identifier (DOI)
Want to read the original?
Access the complete publication on the publisher's website