K Karlina Novianti, Wahab Siswanto, Djawad Khairuddin, Wospodo Nurelly N
Department of Dermatology and Venereology.
Department of Surgery, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia.
J Public Health Afr. 2020 Nov 5;11(1):1059. doi: 10.4081/jphia.2020.1059. eCollection 2020 Apr 29.
Filariasis is an infectious disease caused by a filarial worm infection transmitted by mosquito bites. The disease can result in reduced work productivity, disability and social stigma. This disease transmission process begins when a mosquito bite and suck the blood containing the microfilaria. Filarial infections have been grouped into three categories based on their location diseases of the disease: (1) lymphatics, (2) skin, and (3) body cavities. Morbidity is almost entirely due to the species that cause lymphatic diseases, and skin diseases to a lesser degree. A 28-year-old male came with a chief complaint of swollen right leg since four years ago which worsened in the last three months. Upon physical examination, edema, fibrosis, and hyper-pigmented plaques were present on the right lower extremity. The blood microfilariae examination was positive for . The lymphedema did not resolve despite of antifilarial treatment and surgery was eventually performed to resect the fibrous tissue and subcutaneous edema. The patient responded well to the treatment with a significant reduction in the edema. No complication was present until two years after surgery.
丝虫病是一种由蚊虫叮咬传播的丝虫感染引起的传染病。该疾病可导致工作效率降低、残疾和社会耻辱感。这种疾病的传播过程始于蚊虫叮咬并吸食含有微丝蚴的血液。根据丝虫感染所在部位,丝虫感染已被分为三类疾病:(1)淋巴管疾病,(2)皮肤疾病,(3)体腔疾病。发病几乎完全是由引起淋巴疾病的物种导致的,皮肤疾病导致的发病程度较轻。一名28岁男性因四年前右腿肿胀前来就诊,在过去三个月中病情加重。体格检查发现右下肢有水肿、纤维化和色素沉着斑。血液微丝蚴检查呈阳性。尽管进行了抗丝虫治疗,但淋巴水肿仍未消退,最终进行了手术以切除纤维组织和皮下水肿。患者对治疗反应良好,水肿明显减轻。术后两年内未出现并发症。