Filariasis history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Kalsang Dolma, M.B.B.S.[2]

Overview

The most spectacular symptom of lymphatic filariasis is elephantiasis; thickening of the skin and underlying tissues; which was the first disease discovered to be transmitted by insects. Elephantiasis is caused when the parasites lodge in the lymphatic system. Elephantiasis affects mainly the lower extremities, whereas ears, mucus membranes, and amputation stumps are rarely affected; however, it depends on the species of filaria. W. bancrofti can affect the legs, arms, vulva, breasts, while Brugia timori rarely affects the genitals.

History and Symptoms

Lymphatic filariasis can cause


Elephantiasis (frequently in the lower extremities)

Scrotal swelling and scrotal elephantiasis (patients with Wuchereria bancrofti)

Nocturnal cough

Wheezing

Fever


Onchocerciasis can cause

Pruritus

Dermatitis

The most serious manifestation consists of ocular lesions that can progress to blindness.

Loiasis (Loa loa) can cause

Asymptomatic

Episodic angioedema (Calabar swellings)

Infections by Mansonella perstans can cause

Asymptomatic

Angioedema

Pruritus

Fever

Headaches

Arthralgias

Neurologic manifestations

Mansonella streptocerca can cause

Pruritus

Papular eruptions

Pigmentation changes

Mansonella ozzardi can cause symptoms that include

Arthralgias

Headaches

Fever

Pulmonary symptoms

Pruritus

References


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