Abstract
Filariasis, a neglected tropical disease, is a global health problem and is endemic to 73 countries including India. It is caused by nematodes of Filariodidea family, namely, W. bancrofti and B. malayi in India, which have a predilection for the lower limbs and testis. We report a never before reported case of filariasis of the main parotid duct in a 25-year-old male that resolved on medical management, exemplifying the importance of maintaining a high index of suspicion and careful examination of cytological smears in endemic countries, allowing for an early diagnosis and treatment, decreasing the morbidity of this debilitating disease.
Highlights
Filariasis, a neglected tropical disease, is a global health problem affecting 73 countries, including India, with a population of over 1.2 billion at risk for infection [1]. It is caused by infection with nematodes of the family Filariodidea, namely, Wuchereria bancrofti (90% cases), Brugia malayi, and B. timori, of which the former two are found in India. These parasites have a marked predilection for lower limb lymphatics, the epididymis, and the spermatic cord [2], they have been reported to occur at unusual sites such as the thyroid gland [3], body fluids [4], skin [5], breast [6], and the oral or perioral region [7]
The causative organisms in India are mainly W. bancrofti and B. malayi, with subcutaneous filariasis caused by Loa loa, Onchocerca volvulus, and Mansonella [7]
Microfilariae may be found circulating in the bloodstream and may present in the acute phase as filarial fever, lymphangitis, lymphadenitis, and lymphedema
Summary
Filariasis, a neglected tropical disease, is a global health problem affecting 73 countries, including India, with a population of over 1.2 billion at risk for infection [1]. It is caused by infection with nematodes of the family Filariodidea, namely, Wuchereria bancrofti (90% cases), Brugia malayi (majority of remainder cases), and B. timori (rare), of which the former two are found in India. We report a previously unreported case of filariasis of the parotid duct in a young adult male
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