丝虫病的一种罕见表现：病例报告
An unusual presentation of filariasis: a case report.
作者信息
Garbyal Rajendra S, Bohra Anshu, Bhujun Kissonwttee H
机构信息
Department of Pathology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India.
出版信息
Acta Cytol. 2008 Mar-Apr;52(2):204-6. doi: 10.1159/000325481.
BACKGROUND
Filariasis and its consequences are a major health problem in tropical countries, including the Indian subcontinent. Despite its high incidence, it is unusual to find microfilaria in fine needle aspiration cytology (FNAC) smears. We present a case of subcutaneous firm to cystic swelling, aspiration of which revealed a large number of microfilaria.
CASE
A 30-year-old man presented with a chain of intermittent, firm swellings in both arms. FNAC of the swellings revealed a large number of 4 microfilariae with associated giant cell reaction and inflammatory cell-like eosinophils.
CONCLUSION
Besides the documented usual mode of presentation of filarial infection, it can present in an atypical manner, so careful examination of aspirates from the subcutaneous swellings, especially in filariasis endemic zones, is very important.
背景
丝虫病及其后果是包括印度次大陆在内的热带国家的一个主要健康问题。尽管其发病率很高，但在细针穿刺细胞学检查（FNAC）涂片中发现微丝蚴并不常见。我们报告一例皮下出现坚实至囊性肿胀的病例，对其进行抽吸后发现大量微丝蚴。
病例
一名30岁男性双臂出现一连串间歇性坚实肿胀。对这些肿胀进行细针穿刺细胞学检查发现大量微丝蚴，伴有相关的巨细胞反应和类似炎症细胞的嗜酸性粒细胞。
结论
除了已记录的丝虫感染常见表现方式外，它还可能以非典型方式出现，因此仔细检查皮下肿胀的抽吸物，尤其是在丝虫病流行区，非常重要。
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