A Subcutaneous Nodule of the Breast Due to an Adult Filarial Worm
1964; American Society of Tropical Medicine and Hygiene; Volume: 13; Issue: 2 Linguagem: Inglês
10.4269/ajtmh.1964.13.306
ISSN1476-1645
Autores Tópico(s)Insects and Parasite Interactions
ResumoSummaryA subcutaneous filarial nodule in the breast of a female due to an adult filarial worm or worms is reported from Mangalore, India. Since Wuchereria bancrofti is endemic in this area, the parasite is regarded as probably being of this species.Pathologically the worms excited severe endolymphangitis and perilymphangitis. The cells comprising the exudate around the dead and degenerated worms (or portions thereof) were predominantly polymorphs with stray giant cells, while those around worms with better-preserved morphology (presumably alive) were numerous eosinophils, mononuclears and lymphocytes. The probable significance of this cellular variation is briefly discussed.It is stressed that filarial nodule should be kept in mind in the differential diagnosis of obscure subcutaneous nodules, particularly in areas endemic or hyperendemic for filariasis. Local itching seems important in these cases.
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