Lymph scrotum: an unusual urological presentation of lymphatic filariasis. A case series study.
Identifieur interne : 012C43 ( Main/Exploration ); précédent : 012C42; suivant : 012C44Lymph scrotum: an unusual urological presentation of lymphatic filariasis. A case series study.
Auteurs : Ana Maria Aguiar-Santos [Brésil] ; Marcela Leal-Cruz ; Maria José Netto ; Arturo Carrera ; Guilherme Lima ; Abraham RochaSource :
- Revista do Instituto de Medicina Tropical de Sao Paulo [ 1678-9946 ]
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Animaux, Antigènes d'helminthe (immunologie), Filariose lymphatique (), Filariose lymphatique (imagerie diagnostique), Humains, Hydrocèle (), Maladies de l'appareil génital mâle (imagerie diagnostique), Maladies de l'appareil génital mâle (parasitologie), Mâle, Scrotum (parasitologie), Wuchereria bancrofti (immunologie), Échographie, Études rétrospectives.
- MESH :
- imagerie diagnostique : Filariose lymphatique, Maladies de l'appareil génital mâle.
- immunologie : Antigènes d'helminthe, Wuchereria bancrofti.
- parasitologie : Maladies de l'appareil génital mâle, Scrotum.
- Adulte, Adulte d'âge moyen, Animaux, Filariose lymphatique, Humains, Hydrocèle, Mâle, Échographie, Études rétrospectives.
English descriptors
- KwdEn :
- Adult, Animals, Antigens, Helminth (immunology), Elephantiasis, Filarial (complications), Elephantiasis, Filarial (diagnostic imaging), Genital Diseases, Male (diagnostic imaging), Genital Diseases, Male (parasitology), Humans, Male, Middle Aged, Retrospective Studies, Scrotum (parasitology), Testicular Hydrocele (surgery), Ultrasonography, Wuchereria bancrofti (immunology).
- MESH :
- chemical , immunology : Antigens, Helminth.
- complications : Elephantiasis, Filarial.
- diagnostic imaging : Elephantiasis, Filarial, Genital Diseases, Male.
- immunology : Wuchereria bancrofti.
- parasitology : Genital Diseases, Male, Scrotum.
- surgery : Testicular Hydrocele.
- Adult, Animals, Humans, Male, Middle Aged, Retrospective Studies, Ultrasonography.
Abstract
Lymphatic filariasis (LF) causes a wide range of clinical signs and symptoms, including urogenital manifestations. Transmission control and disability/morbidity management/control are the two pillars of the overall elimination strategy for LF. Lymph scrotum is an unusual urological clinical presentation of LF with important medical, psychological, social and economic repercussions. A retrospective case series study was conducted on outpatients attended at the National Reference Service for Filariasis, in an endemic area for filariasis (Recife, Brazil), between 2000 and 2007. Over this period, 6,361 patients were attended and seven cases with lymph scrotum were identified. Mean patient age was 45 years (range, 26 to 64 years). Mean disease duration was 8.5 years (range, two to 15 years). All patients had evidence of filarial infection from at least one laboratory test (parasitological, antigen investigation or 'filarial dance sign' on ultrasound). Six patients presented histories of urological surgery. The authors highlight the importance of the association between filarial infection and the inadequate surgical and clinical management of hydrocele in an endemic area, as risk factors for lymph scrotum. Thus, filarial infection should be routinely investigated in all individuals presenting urological morbidity within endemic areas, in order to identify likely links in the transmission chain.
PubMed: 19738996
Affiliations:
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Transmission control and disability/morbidity management/control are the two pillars of the overall elimination strategy for LF. Lymph scrotum is an unusual urological clinical presentation of LF with important medical, psychological, social and economic repercussions. A retrospective case series study was conducted on outpatients attended at the National Reference Service for Filariasis, in an endemic area for filariasis (Recife, Brazil), between 2000 and 2007. Over this period, 6,361 patients were attended and seven cases with lymph scrotum were identified. Mean patient age was 45 years (range, 26 to 64 years). Mean disease duration was 8.5 years (range, two to 15 years). All patients had evidence of filarial infection from at least one laboratory test (parasitological, antigen investigation or 'filarial dance sign' on ultrasound). Six patients presented histories of urological surgery. The authors highlight the importance of the association between filarial infection and the inadequate surgical and clinical management of hydrocele in an endemic area, as risk factors for lymph scrotum. Thus, filarial infection should be routinely investigated in all individuals presenting urological morbidity within endemic areas, in order to identify likely links in the transmission chain.</div></front></TEI><affiliations><list><country><li>Brésil</li></country><region><li>Pernambuco</li></region></list><tree><noCountry><name sortKey="Carrera, Arturo" sort="Carrera, Arturo" uniqKey="Carrera A" first="Arturo" last="Carrera">Arturo Carrera</name><name sortKey="Leal Cruz, Marcela" sort="Leal Cruz, Marcela" uniqKey="Leal Cruz M" first="Marcela" last="Leal-Cruz">Marcela Leal-Cruz</name><name sortKey="Lima, Guilherme" sort="Lima, Guilherme" uniqKey="Lima G" first="Guilherme" last="Lima">Guilherme Lima</name><name sortKey="Netto, Maria Jose" sort="Netto, Maria Jose" uniqKey="Netto M" first="Maria José" last="Netto">Maria José Netto</name><name sortKey="Rocha, Abraham" sort="Rocha, Abraham" uniqKey="Rocha A" first="Abraham" last="Rocha">Abraham Rocha</name></noCountry><country name="Brésil"><region name="Pernambuco"><name sortKey="Aguiar Santos, Ana Maria" sort="Aguiar Santos, Ana Maria" uniqKey="Aguiar Santos A" first="Ana Maria" last="Aguiar-Santos">Ana Maria Aguiar-Santos</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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