Chaturvedi Ashutosh, Kumar Arun
Classified Specialist, Medicine, Military Hospital, Faizabad, Uttar Pradesh.
Professor, Medicine and Nephrology, Command Hospital, Lucknow, Uttar Pradesh.
J Assoc Physicians India. 2017 May;65(5):106-107.
The occurrence of microfilaria in pleural fluid is rare. Filarial lung involvement occurs in the form of Tropical Pulmonary Eosinophilia with pulmonary infiltrates and peripheral eosinophilia. We report a 74-year-old male patient, non smoker who was admitted to our hospital with breathlessness and chest discomfort of two weeks duration. He had, eosinophilia and deranged renal function. X-ray chest revealed massive left sided pleural effusion. Pleural fluid analysis revealed atypical cells and pleural fluid cytology showed microfilaria (Wuchereria bancrofti), which were also found on peripheral smear.
微丝蚴出现在胸腔积液中较为罕见。丝虫性肺部受累表现为热带肺嗜酸性粒细胞增多症，伴有肺部浸润和外周嗜酸性粒细胞增多。我们报告一名74岁男性患者，不吸烟，因持续两周的呼吸困难和胸部不适入院。他有嗜酸性粒细胞增多和肾功能紊乱。胸部X线显示左侧大量胸腔积液。胸腔积液分析发现非典型细胞，胸腔积液细胞学检查显示有微丝蚴（班氏吴策线虫），外周血涂片也发现了微丝蚴。
