Leggat Peter A, Melrose Wayne
Lymphatic Filariasis Support Center, School of Public Health and Tropical Medicine, James Cook University, Townsville, Australia.
Mil Med. 2005 Jul;170(7):585-9. doi: 10.7205/milmed.170.7.585.
Lymphatic filariasis (LF) is the second most common parasitic disease worldwide, after malaria. It should always be considered in the differential diagnosis for military personnel returning from disease-endemic areas. Numerous outbreaks of LF have been reported in military deployments from World War II. In contrast to the presentation of LF in indigenous populations, which often involves such uncommon complications as elephantiasis and hydrocele, the clinical presentation of LF in military personnel can vary widely and is often vague and nondescript. Common symptoms are pain and swelling of the genitalia, closely followed by lymphangitis of the arms and legs. All three species produce similar disease.
淋巴丝虫病(LF)是全球第二常见的寄生虫病,仅次于疟疾。对于从疾病流行地区返回的军事人员进行鉴别诊断时,应始终考虑到该病。自第二次世界大战以来,在军事部署中已报告了许多淋巴丝虫病疫情。与本土人群中淋巴丝虫病的表现不同,本土人群中该病常伴有象皮肿和鞘膜积液等不常见并发症,而军事人员中淋巴丝虫病的临床表现差异很大,通常模糊且不具特征性。常见症状为生殖器疼痛和肿胀,其次是手臂和腿部淋巴管炎。这三种丝虫都会引发类似疾病。