Title: Microfilariae in Lymph Node Aspirate- A Case Report
Authors: Dr Jyoti Sharma, Dr Nitin Chaudhary, Dr Sandhya Bordia
DOI: https://dx.doi.org/10.18535/jmscr/v5i3.69
Abstract
Lymphatic filariasis is a major public health problem in India. It is routinely examined in night peripheral blood smears. Fine-needle aspiration cytology (FNAC) is not routinely used for its identification. It has always been detected incidentally, while doing FNACs for evaluation of other lesions. It is unusual to find microfilariae in fine needle aspiration cytology (FNAC) smears of lymph nodes in spite of very high incidence in India. In the absence of clinical features of filariasis, FNAC may help in the diagnosis of lymphatic filariasis. We present this case because of unusual occurrence of isolated lymph node filariasis (occult filariasis) without microfilaremia.
Keywords- Axillary lymph node, Microfilaria, FNAC.
References
1. Park K. Lymphatic filariasis, epidemic-ology of communicable diseases. In: Textbook of Preventive and Social Medicine. 22nd edition, Banarasidas Bhanot Publishers: Jabalpur; pg.245.
2. K.D.Chatterjee. Phylum nemathelminthes. In, K.D.Chatterjee (ed), Parasitology, 12th edition. Culcutta, Chatterjee medical publishers, 1980;188-98
3. Katti TV, Athanikar VS, Ananthrao AS, Rathod CV. Cytodiagnosis of microfilarial lymphadenitis coexistent with metastatic squamous cell carcinoma in a left cervical lymph node: An unusual presentation. Ann Nigerian Med 2012;6:47-9.
4. Gupta S, Sodhani P, Jain S, Kumar N. Microfilariae in association with neoplastic lesions: Report of five cases. Cytopathology 2001;12:120-6.
5. Suthar KD, Kashyap RR, Mewada BN, Suthar H. Filariasis presenting as generalised lymphadenopathy: A rare case report. Int J Med Sci Public Health 2013;2:755-6.
6. Udwadia FE. Tropical eosinophilia. In: Herzog H, editor. 7. Pulmonary eosinop-hilia: progress in pulmonary research, vol. VII. Basel: S. Karger; 1975. p. 35-155
7. Parsons-Smith BG. Tropical eosinophilia. 4. Lancet 1944; 1 : 433-4.
8. Jai B. Mullerpattan, Zarir F. Udwadia &F arokh E. Udwadia; Tropical pulmonary eosinophilia - A review, Indian J Med Res 138, September 2013, pp 295-302
9. Garg PK, Jain BK, Rathi V, Singh N, Mohanty D. Mid-arm and epitrochlear lymphadenopathy: a clinico-radiological surprise. J Infect Dev Ctries 2011;5(11): 820-4.
10. Gupta S, Gupta R, Bansal B, Singh S, Gupta K, Kudesia M. Significance of incidental detection of filariasis on aspiration smears: a case series. Diagn Cytopathol 2010;38(7):517-20.