Abstract

Lymphatic filariasis is a major public health problem. World Health Organization (WHO) has graded filariasis, as the second leading cause for permanent and long-term disability after leprosy. It is a chronic disabling parasitic disease prevalent in South Asia and Africa. A case of 26-year-old male resident of district Palpa presented with swelling of left inguinal region since 3-4 days and pain in inguinal region since a month. He had no history of trauma, fever or any other systemic symptoms. High frequency, high-resolution scrotal ultrasonography is a valuable technique for diagnosing scrotal filarial infection. This method revealed “Filarial Dance Sign” which is a distinctive and continuous pattern of movement of live microfilaria indicating active infection. It is a simple, rapid, sensitive and noninvasive technique. Noninvasive ultrasonography is preferable to the invasive FNAC.

Highlights

  • Lymphatic filariasis is a major public health problem in many tropical countries

  • The disease mainly affects the lymphatics of lower limbs, spermatic cord, epididymis and retroperitoneum.[3]

  • We present the case of filariasis of spermatic cord presenting as “filarial dance sign” on real time sonography

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Summary

INTRODUCTION

Lymphatic filariasis is a major public health problem in many tropical countries. World Health Organization (WHO) has graded filariasis, as the second leading cause for permanent and long-term disability after leprosy.[1]. We present the case of filariasis of spermatic cord presenting as “filarial dance sign” on real time sonography

CASE PRESENTATION
DISCUSSION
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