Bancroftian microfilariasis in association with pulmonary tuberculosis. Report of a case with diagnosis by fine needle aspiration.
A 25-year-old man presented with clinical and radiologic features suggestive of pulmonary tuberculosis. Since the examination of Ziehl-Neelsen-stained sputum smears for acid-fast bacilli was repeatedly negative, a transthoracic fine needle aspiration biopsy was performed. Papanicolaou-stained smears of the aspirate showed microfilariae of Wuchereria bancrofti and a tuberculous exudate but no acid-fast bacilli or classic granulomas. Subsequent sputum samples did show acid-fast bacilli, while a nocturnal peripheral blood sample showed microfilariae.
Avasthi
R
R
Department of Medicine, Mahatma Gandhi Institute of Medical Sciences, Sewagram, Maharashtra, India.
Jain
A P
AP
Swaroop
K
K
Samal
N
N
D000328:Adult; D000818:Animals; D001707:Biopsy, Needle; D003937:Diagnosis, Differential; D004605:Elephantiasis, Filarial / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D008174:Lung Diseases, Parasitic / Q000150:complications / Q000175:diagnosis* / Q000469:parasitology; D008297:Male; D008842:Microfilariae / Q000302:isolation & purification; D014397:Tuberculosis, Pulmonary / Q000150:complications / Q000175:diagnosis; D014958:Wuchereria bancrofti / Q000302:isolation & purification*