From the Department of Surgery Pietro Valdoni, Umberto I Policlinico, Roma, Italy.
Ann Saudi Med. 2021 May-Jun;41(3):186-189. doi: 10.5144/0256-4947.2021.186. Epub 2021 Jun 1.
At least 27 million men present with urogenital manifestations of genital filariasis (GF). Although there is a large burden of GF in residents in endemic regions, infection in short-term travellers and in non-endemic areas is rare. We report the case of a 75-year-old Italian man referred to our institution for a testicular discomfort. Clinical examination and ultrasound detected a mass of 40×18 mm in the scrotum without signs of varicocele, hydrocele and testicular or epididymal abnormalities. After ineffective medical treatment, the patient underwent surgical excision. Histology demonstrated filarial granuloma with thick cuticles pathognomonic of an adult worm in the testicular tunics. Surgery has a fundamental role in localized cases of GF to remove nematodes from the fibrotic nodules. The present manuscript describes a singular case of GF observed in Italy in a non-immigrant patient with evidence of remnants of an adult worm in the testicular tunics. SIMILAR CASES PUBLISHED: 11.
至少有 2700 万男性出现生殖器丝虫病（GF）的泌尿生殖表现。尽管在疫区居民中有大量的 GF 负担，但短期旅行者和非疫区的感染很少见。我们报告了一例 75 岁意大利男性，因睾丸不适被转至我们的机构就诊。临床检查和超声检查发现阴囊内有一个 40×18 毫米的肿块，没有精索静脉曲张、鞘膜积液和睾丸或附睾异常的迹象。在药物治疗无效后，患者接受了手术切除。组织学显示具有厚角质层的丝虫性肉芽肿，这是成年虫的特征，位于睾丸被膜中。手术在 GF 的局部病例中起着重要作用，可以从纤维性结节中去除线虫。本文描述了一例在意大利观察到的非移民患者中的 GF 奇异病例，在睾丸被膜中发现了成虫残余物。已发表类似病例：11 例。
