Concluded Case

WUCHURIA BANCROFTI

50year old male with chronic progressive swelling of right lower limb for 20 years..had history of reccurent erythema/pain fever every 2 months..wazza underlying condition and what can be done to prevent reccurent cellulitis?

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Concluded answer
Wuchereria bancrofti is a human parasitic worm that is the major cause of lymphatic filariasis. It is one of the three parasitic worms, together with Brugia malayi and B. timori, that infect the lymphatic system to cause lymphatic filariasis. These filarial worms are spread by a variety of mosquito vector species... Most of the infections worldwide are caused by Wuchereria bancrofti. In Asia, the disease can also be caused by Brugia malayi and Brugia timori. The infection spreads from person to person by mosquito bites. ... A wide range of mosquitoes can transmit the parasite, depending on the geographic area. Ivermactin / DEC are the drugs of choice
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Wuchereria bancrofti is a human parasitic worm that is the major cause of lymphatic filariasis. It is one of the three parasitic worms, together with Brugia malayi and B. timori, that infect the lymphatic system to cause lymphatic filariasis. These filarial worms are spread by a variety of mosquito vector species... Most of the infections worldwide are caused by Wuchereria bancrofti. In Asia, the disease can also be caused by Brugia malayi and Brugia timori. The infection spreads from person to person by mosquito bites. ... A wide range of mosquitoes can transmit the parasite, depending on the geographic area. Ivermactin / DEC are the drugs of choice
Valuable opinion
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Elephantiasis .or lymphatic filariasis. Recurrent erythema, pain , fever and cellulitis is known in this condition. As due to constant pressure on skin and subcutaneous tissue , pressure necrosis and subsequent superadded infections are common particularly erysipelas. A course of antibiotics particularly erysipelas and other measures like maintaining good hygiene, elevation of limb , elastic compression stockings can prevent such episodes
Valuable opinion
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It seems more likely a case of elephantiasis.D/d1-elephantiasis 2-lymphoedema 3'-cellutis.advise-1-cbc 2'-color Doppler to evaluate veins and arteries of lower limb.Rx'-Tab Hetrazan 100mg 1×3 2-Tab levocetrizine 10mg 1od3-Tab b complex 1od ×2to3 month.antibiotic and antiinflammatory drugs may be added after awaited reports.if required.
SUGGESTIVE OF ELEPHANTIASIS LYMPHEDEMA ADVISABLE COLOR DOPPLER X. RAY
IT'S A..CASE OF.. LYMPHATIC OBSTRUCTION.. ? LYMPHEDEMA.. ? ELEPHANTIASIS..
Tnx Dr Sheetal Jadhav
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Elephantiasis with recurrent lymphangitis
It's Elephantiasis
Thank you doctor
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ELEPHANTIASIS
Decompression, hetrazan 100 mg thrice daily x one month. See for abdominal lymphatic
Elephantiasis.. Probably filarial origin
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