An uncommon infectious cause of pleural effusion

Author:

Aggarwal Amitesh1,Rajashekaraiah Lokesh Champally1,Misra Kiran2,Dev Munish1,Sharma Vishal1

Affiliation:

1. Department of Medicine and

2. Department of Pathology, University College of Medical Sciences (University of Delhi) and GTB Hospital, Delhi

Abstract

Lymphatic filariasis is one of the major public health problems across the globe. Clinical manifestations usually depend on the site of lymphatic involvement. A 21-year-old female resident of a non-endemic filarial region presented with axillary lymphadenopathy, bilateral pleural effusion, ascites and pedal oedema. Fine-needle aspiration cytology (FNAC) of axillary lymph nodes revealed microfilariae. On the administration of diethyl carbamazine, lymph nodes gradually disappeared, the patient improved symptomatically and the filarial antigen test after treatment was negative. We report this case of bilateral axillary lymphadenopathy with pleural effusion and ascites as a rare manifestation of filariasis.

Publisher

SAGE Publications

Subject

Infectious Diseases,Public Health, Environmental and Occupational Health

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