LYMPHATIC FILARIASIS

Lymphatic filariasis, more popularly known as elephantiasis, is a condition that is extremely painful and severely disfiguring. It is caused by parasites called nematodes (roundworms) of the family Filariodidea that are spread by the bites of mosquitoes that are infected. Larvae that are spread by mosquitoes are left on the skin, where they can enter the body. The larvae then move to the lymphatic vessels, where they turn into adult worms and keep the cycle going.

In filariasis-transmitted populations, all ages are affected. Although the illness may be acquired during childhood, its apparent signs, such as limb oedema, might arise later in adulthood, resulting in temporary or permanent impairment. Lymphatic filariasis has a significant social and economic effect in endemic regions.

SYMPTOMS

Approximately two out of every three persons with lymphatic filariasis do not have significant symptoms. However, filariasis frequently results in a compromised immune system.

Certain individuals may experience:

  • Inflammation
  • Enlarged liver
  • Excess fluid accumulation in lymphatics
  • Swelling of scrotum
  • Excess fluid in the scrotum.
  • Itchy skin 
  • Abdominal and chest pain
  • Muscle pain
  • Edema in your arms, legs, breasts, and female genitals

DIAGNOSIS

The doctor will take a thorough medical history, conduct a physical exam, and suggest these tests to diagnose lymphatic filariasis.

  • Microscopy of blood sample
  • Antibody testing
  • Serological techniques 

TREATMENT

The type and severity of your symptoms will determine your treatment plan. Treatment options for lymphatic filariasis generally include:

  • Medication. The doctor may prescribe you diethylcarbamazine,  ivermectin, albendazole, doxycycline
  • Elephantiasis management. Your doctor may recommend elevation or compression clothes to manage swelling.
  • Surgery. The removal of dead worms from your bloodstream may need surgery. If filariasis leads to hydrocele, surgery to drain the fluid buildup in your scrotum might also be necessary.

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