Singh Ajay Kr, Gupta Prashant, Yadav Soma, Pahawa H S
Assistant Professor, Department of Pathology, King George's Medical University , Lucknow, UP, India .
Assistant Professor, Department of Microbiology, King George's Medical University , Lucknow, UP, India .
J Clin Diagn Res. 2014 Jun;8(6):FD03-4. doi: 10.7860/JCDR/2014/7494.4418. Epub 2014 Jun 20.
Filariasis is a major public health problem which is faced in tropical countries like India. Its diagnosis is made by using peripheral blood smears. However, microfilaria has been detected incidentally during FNACs of various lesions, which were done in clinically unsuspected cases. We are reporting here, an uncommon case of filariasis, which caused a nodular, subcutaneous swelling in left breast of a 30 year old lactating female. A nodular subcutaneous swelling can be caused in breast of a lactating female by lactational associated mastitis, but filaria causing a nodular swelling in a lactating breast is a rare presentation. Aspiration of the swelling demonstrated enormous pathogen presence caused by Woucheria bancrofti and the patient responded well to six weeks of daily anti-filarial treatment with diethylcarbamazine citrate.
丝虫病是印度等热带国家面临的一个主要公共卫生问题。其诊断通过外周血涂片进行。然而，在临床未怀疑的病例中，在对各种病变进行细针穿刺抽吸活检（FNAC）时偶然发现了微丝蚴。我们在此报告一例罕见的丝虫病病例，该病例导致一名30岁哺乳期女性左乳出现结节性皮下肿胀。哺乳期女性乳房出现结节性皮下肿胀可能是由哺乳期相关乳腺炎引起，但丝虫病导致哺乳期乳房出现结节性肿胀是一种罕见的表现。对肿胀部位进行抽吸显示存在由班氏吴策线虫引起的大量病原体，患者对为期六周的每日枸橼酸乙胺嗪抗丝虫治疗反应良好。
