Cytological diagnosis of filarial infection in an endemic area where screening and prophylaxis is in place
Identifieur interne : 006B10 ( Istex/Corpus ); précédent : 006B09; suivant : 006B11Cytological diagnosis of filarial infection in an endemic area where screening and prophylaxis is in place
Auteurs : P. Singh ; Anshu ; N. GanganeSource :
- Cytopathology [ 0956-5507 ] ; 2012-10.
Abstract
P. Singh, Anshu and N. Gangane
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DOI: 10.1111/j.1365-2303.2011.00890.x
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ISTEX:E43897E8397FE3E32513BBA5CE073519DC58353ALe document en format XML
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Singh</name><affiliation><mods:affiliation>Department of Pathology, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, Maharashtra, India</mods:affiliation></affiliation></author><author><name sortKey="Anshu, " sort="Anshu, " uniqKey="Anshu " first="" last="Anshu"> Anshu</name><affiliation><mods:affiliation>Department of Pathology, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, Maharashtra, India</mods:affiliation></affiliation></author><author><name sortKey="Gangane, N" sort="Gangane, N" uniqKey="Gangane N" first="N." last="Gangane">N. 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type="main">Cytological diagnosis of filarial infection in an endemic area where screening and prophylaxis is in place</title></titleStmt><publicationStmt><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><availability><licence>© 2011 Blackwell Publishing Ltd</licence></availability><date type="published" when="2012-10"></date></publicationStmt><notesStmt><note type="content-type" subtype="article" source="article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="article"><analytic><title level="a" type="main">Cytological diagnosis of filarial infection in an endemic area where screening and prophylaxis is in place</title><title level="a" type="short">Cytological diagnosis of filarial infection</title><author xml:id="author-0000"><persName><forename type="first">P.</forename><surname>Singh</surname></persName><affiliation>Department of Pathology, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, Maharashtra, India<address><country key="IN"></country></address></affiliation></author><author xml:id="author-0001"><persName><forename type="first"> </forename><surname>Anshu</surname></persName><affiliation>Department of Pathology, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, Maharashtra, India<address><country key="IN"></country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">N.</forename><surname>Gangane</surname></persName><affiliation>Department of Pathology, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, Maharashtra, India<address><country key="IN"></country></address></affiliation></author><idno type="istex">E43897E8397FE3E32513BBA5CE073519DC58353A</idno><idno type="DOI">10.1111/j.1365-2303.2011.00890.x</idno><idno type="unit">CYT890</idno><idno type="toTypesetVersion">file:CYT.CYT890.pdf</idno></analytic><monogr><title level="j" type="main">Cytopathology</title><title level="j" type="alt">CYTOPATHOLOGY</title><idno type="pISSN">0956-5507</idno><idno type="eISSN">1365-2303</idno><idno type="book-DOI">10.1111/(ISSN)1365-2303</idno><idno type="book-part-DOI">10.1111/cyt.2012.23.issue-5</idno><idno type="product">CYT</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">23</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="325">325</biblScope><biblScope unit="page" to="329">329</biblScope><biblScope unit="page-count">5</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2012-10"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><p>P. Singh, Anshu and N. Gangane</p><p><hi rend="bold">Cytological diagnosis of filarial infection in an endemic area where screening and prophylaxis is in place</hi></p><p><hi rend="bold">Objective: </hi> Filariasis has a worldwide distribution. However, the disease is often overlooked or misdiagnosed because of its unusual presentations and there may be false‐negative results in endemic areas. This study was carried out to assess the role of cytology in the demonstration of filarial parasites in an area where screening and prophylaxis are in place.</p><p><hi rend="bold">Methods: </hi> This study was carried out in Wardha district in central India, which is endemic for filarial infection. A total of 9182 smears of cases undergoing cytological evaluation were routinely screened at the time of reporting for the presence of adult filarial worm, microfilarial larvae or their fertilized and unfertilized eggs, irrespective of their original clinical diagnosis.</p><p><hi rend="bold">Results: </hi> Microfilariae were found incidentally in fine needle aspiration (FNA) smears of patients presenting with other clinical conditions. Smears of seven cases were found to be positive for microfilaria. Four cases presented with subcutaneous nodules in the upper arm, two cases were seen incidentally in axillary lymph node aspirates and microfilariae were found in the pleural fluid in one case. Another case was suspected to have breast cancer, but aspirates from the axillary area showed lymphatic obstruction considered to be due to filariasis.</p><p><hi rend="bold">Conclusion: </hi> FNA cytology is an inexpensive, simple and easy procedure for detecting microfilariae. Detection of microfilariae may not be common even in endemic areas as screening and prophylaxis is routinely performed, and patients may show atypical presentations such as subcutaneous nodules. We believe that careful screening of FNAs, especially those from subcutaneous swellings, as well as serous fluids, is very important in a filariasis‐endemic zone.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">filariasis</term><term xml:id="k2">microfilaria</term><term xml:id="k3">screening</term><term xml:id="k4">prophylaxis</term><term xml:id="k5">fine needle aspiration cytology</term></keywords><classCode scheme="tocHeading1">Original articles</classCode></textClass><langUsage><language ident="EN"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/E43897E8397FE3E32513BBA5CE073519DC58353A/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Ltd</publisherName><publisherLoc>Oxford, UK</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1365-2303</doi><issn type="print">0956-5507</issn><issn type="electronic">1365-2303</issn><idGroup><id type="product" value="CYT"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="CYTOPATHOLOGY">Cytopathology</title></titleGroup></publicationMeta><publicationMeta level="part" position="10105"><doi origin="wiley">10.1111/cyt.2012.23.issue-5</doi><numberingGroup><numbering type="journalVolume" number="23">23</numbering><numbering type="journalIssue" number="5">5</numbering></numberingGroup><coverDate startDate="2012-10">October 2012</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="9" status="forIssue"><doi origin="wiley">10.1111/j.1365-2303.2011.00890.x</doi><idGroup><id type="unit" value="CYT890"></id></idGroup><countGroup><count type="pageTotal" number="5"></count></countGroup><titleGroup><title type="tocHeading1">Original articles</title></titleGroup><copyright>© 2011 Blackwell Publishing Ltd</copyright><eventGroup><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:3.1.6 mode:FullText" date="2012-09-17"></event><event type="publishedOnlineEarlyUnpaginated" date="2011-07-05"></event><event type="firstOnline" date="2011-07-05"></event><event type="publishedOnlineFinalForm" date="2012-09-17"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-16"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.3.4 mode:FullText" date="2015-02-25"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="325">325</numbering><numbering type="pageLast" number="329">329</numbering></numberingGroup><correspondenceTo>Dr N. Gangane, Department of Pathology, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, Maharashtra 442102, India
Tel./Fax: +91 7152 284955; E‐mail: <email>nitingangane@rediffmail.com</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:CYT.CYT890.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory>Accepted for publication 30 May 2011</unparsedEditorialHistory><countGroup><count type="figureTotal" number="3"></count><count type="tableTotal" number="1"></count></countGroup><titleGroup><title type="main">Cytological diagnosis of filarial infection in an endemic area where screening and prophylaxis is in place</title><title type="shortAuthors"><b>P. Singh et al.</b></title><title type="short"><b>Cytological diagnosis of filarial infection</b></title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#aff-1-1"><personName><givenNames>P.</givenNames><familyName>Singh</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#aff-1-1"><personName><givenNames> </givenNames><familyName>Anshu</familyName></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#aff-1-1"><personName><givenNames>N.</givenNames><familyName>Gangane</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="aff-1-1" countryCode="IN"><unparsedAffiliation>Department of Pathology, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, Maharashtra, India</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">filariasis</keyword><keyword xml:id="k2">microfilaria</keyword><keyword xml:id="k3">screening</keyword><keyword xml:id="k4">prophylaxis</keyword><keyword xml:id="k5">fine needle aspiration cytology</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><p>P. Singh, Anshu and N. Gangane</p><p><b>Cytological diagnosis of filarial infection in an endemic area where screening and prophylaxis is in place</b></p><p><b>Objective: </b> Filariasis has a worldwide distribution. However, the disease is often overlooked or misdiagnosed because of its unusual presentations and there may be false‐negative results in endemic areas. This study was carried out to assess the role of cytology in the demonstration of filarial parasites in an area where screening and prophylaxis are in place.</p><p><b>Methods: </b> This study was carried out in Wardha district in central India, which is endemic for filarial infection. A total of 9182 smears of cases undergoing cytological evaluation were routinely screened at the time of reporting for the presence of adult filarial worm, microfilarial larvae or their fertilized and unfertilized eggs, irrespective of their original clinical diagnosis.</p><p><b>Results: </b> Microfilariae were found incidentally in fine needle aspiration (FNA) smears of patients presenting with other clinical conditions. Smears of seven cases were found to be positive for microfilaria. Four cases presented with subcutaneous nodules in the upper arm, two cases were seen incidentally in axillary lymph node aspirates and microfilariae were found in the pleural fluid in one case. Another case was suspected to have breast cancer, but aspirates from the axillary area showed lymphatic obstruction considered to be due to filariasis.</p><p><b>Conclusion: </b> FNA cytology is an inexpensive, simple and easy procedure for detecting microfilariae. Detection of microfilariae may not be common even in endemic areas as screening and prophylaxis is routinely performed, and patients may show atypical presentations such as subcutaneous nodules. We believe that careful screening of FNAs, especially those from subcutaneous swellings, as well as serous fluids, is very important in a filariasis‐endemic zone.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Cytological diagnosis of filarial infection in an endemic area where screening and prophylaxis is in place</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Cytological diagnosis of filarial infection</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Cytological diagnosis of filarial infection in an endemic area where screening and prophylaxis is in place</title></titleInfo><name type="personal"><namePart type="given">P.</namePart><namePart type="family">Singh</namePart><affiliation>Department of Pathology, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, Maharashtra, India</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given"> </namePart><namePart type="family">Anshu</namePart><affiliation>Department of Pathology, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, Maharashtra, India</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">N.</namePart><namePart type="family">Gangane</namePart><affiliation>Department of Pathology, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, Maharashtra, India</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article"></genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">2012-10</dateIssued><edition>Accepted for publication 30 May 2011</edition><copyrightDate encoding="w3cdtf">2012</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="figures">3</extent><extent unit="tables">1</extent></physicalDescription><abstract>P. Singh, Anshu and N. Gangane</abstract><abstract>Cytological diagnosis of filarial infection in an endemic area where screening and prophylaxis is in place</abstract><abstract>Objective: Filariasis has a worldwide distribution. However, the disease is often overlooked or misdiagnosed because of its unusual presentations and there may be false‐negative results in endemic areas. This study was carried out to assess the role of cytology in the demonstration of filarial parasites in an area where screening and prophylaxis are in place.</abstract><abstract>Methods: This study was carried out in Wardha district in central India, which is endemic for filarial infection. A total of 9182 smears of cases undergoing cytological evaluation were routinely screened at the time of reporting for the presence of adult filarial worm, microfilarial larvae or their fertilized and unfertilized eggs, irrespective of their original clinical diagnosis.</abstract><abstract>Results: Microfilariae were found incidentally in fine needle aspiration (FNA) smears of patients presenting with other clinical conditions. Smears of seven cases were found to be positive for microfilaria. Four cases presented with subcutaneous nodules in the upper arm, two cases were seen incidentally in axillary lymph node aspirates and microfilariae were found in the pleural fluid in one case. Another case was suspected to have breast cancer, but aspirates from the axillary area showed lymphatic obstruction considered to be due to filariasis.</abstract><abstract>Conclusion: FNA cytology is an inexpensive, simple and easy procedure for detecting microfilariae. Detection of microfilariae may not be common even in endemic areas as screening and prophylaxis is routinely performed, and patients may show atypical presentations such as subcutaneous nodules. We believe that careful screening of FNAs, especially those from subcutaneous swellings, as well as serous fluids, is very important in a filariasis‐endemic zone.</abstract><subject lang="en"><genre>keywords</genre><topic>filariasis</topic><topic>microfilaria</topic><topic>screening</topic><topic>prophylaxis</topic><topic>fine needle aspiration cytology</topic></subject><relatedItem type="host"><titleInfo><title>Cytopathology</title></titleInfo><genre type="journal">journal</genre><identifier type="ISSN">0956-5507</identifier><identifier type="eISSN">1365-2303</identifier><identifier type="DOI">10.1111/(ISSN)1365-2303</identifier><identifier type="PublisherID">CYT</identifier><part><date>2012</date><detail type="volume"><caption>vol.</caption><number>23</number></detail><detail type="issue"><caption>no.</caption><number>5</number></detail><extent unit="pages"><start>325</start><end>329</end><total>5</total></extent></part></relatedItem><identifier type="istex">E43897E8397FE3E32513BBA5CE073519DC58353A</identifier><identifier type="DOI">10.1111/j.1365-2303.2011.00890.x</identifier><identifier type="ArticleID">CYT890</identifier><accessCondition type="use and reproduction" contentType="copyright">© 2011 Blackwell Publishing Ltd</accessCondition><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>Blackwell Publishing Ltd</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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