Filariasis physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Filariasis patients appear toxic on presentation due to pain. They present with fever called filarial fever which is acute self limited fever occur in the beginning of the disease. Edematous plaques may be observed and it is a sign of acute dermatolymphangioadenitis. In onchocerciasis, blindness occurs and subcutaneous nodules may be found Genitourinary manifestations are also observed in filariasis as hydrocele, chyluria, hematuria and scrotal elephantiasis. | Filariasis patients appear toxic on presentation due to pain. They present with fever called [[Fever|filarial fever]] which is acute self limited fever occur in the beginning of the disease. Edematous plaques may be observed and it is a sign of acute dermatolymphangioadenitis. In [[onchocerciasis]], blindness occurs and subcutaneous nodules may be found Genitourinary manifestations are also observed in filariasis as [[hydrocele]], [[chyluria]], [[hematuria]] and scrotal elephantiasis. | ||
==Physical Examination== | ==Physical Examination== | ||
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* [[Hydrocele]] | * [[Hydrocele]] | ||
* Scrotal elephantiasis | * Scrotal elephantiasis | ||
* Chyluria as a result of leakage of the lymph into the urine. | * [[Chyluria]] as a result of leakage of the lymph into the urine. | ||
* Hematuria | * [[Hematuria]] | ||
* Proteinuria | * [[Proteinuria]] | ||
===Other=== | ===Other=== | ||
Revision as of 17:18, 3 July 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Ahmed Elsaiey, MBBCH [2]
Overview
Filariasis patients appear toxic on presentation due to pain. They present with fever called filarial fever which is acute self limited fever occur in the beginning of the disease. Edematous plaques may be observed and it is a sign of acute dermatolymphangioadenitis. In onchocerciasis, blindness occurs and subcutaneous nodules may be found Genitourinary manifestations are also observed in filariasis as hydrocele, chyluria, hematuria and scrotal elephantiasis.
Physical Examination
Appearance of the patient
- Patients with filariasis appearance is toxic due to pain.
Vital signs
- Filarial fever which is acute self limited fever occuring in the beginning of the infection.
Skin
- Edematous plaques in acute phase of the disease as a sign of acute dermatolymphangioadenitis.[1]
- Papular eruptions
- Subcutaneous nodules in cases of onchocercomata,
HEENT
- Blindness: In Onchocerciasis, the most serious manifestation consists of ocular lesions that can progress to blindness.[2]
- Subconjunctival migration of an adult worm can be seen in Loiasis
Lungs
- Rhonchi may be present in patients with Pulmonary tropical eosinophilia syndrome
Abdomen
Extremities
Genitourinary
There are genitourinary signs that may be detected in filariasis patients:[3]
- Hydrocele
- Scrotal elephantiasis
- Chyluria as a result of leakage of the lymph into the urine.
- Hematuria
- Proteinuria
Other
References
- ↑ Dreyer G, Medeiros Z, Netto MJ, Leal NC, de Castro LG, Piessens WF (1999). "Acute attacks in the extremities of persons living in an area endemic for bancroftian filariasis: differentiation of two syndromes". Trans R Soc Trop Med Hyg. 93 (4): 413–7. PMID 10674092.
- ↑ Chandy A, Thakur AS, Singh MP, Manigauha A (2011). "A review of neglected tropical diseases: filariasis". Asian Pac J Trop Med. 4 (7): 581–6. doi:10.1016/S1995-7645(11)60150-8. PMID 21803313.
- ↑ Dreyer G, Ottesen EA, Galdino E, Andrade L, Rocha A, Medeiros Z; et al. (1992). "Renal abnormalities in microfilaremic patients with Bancroftian filariasis". Am J Trop Med Hyg. 46 (6): 745–51. PMID 1621900.