title: An uncommon infectious cause of pleural effusion.
abstract: Lymphatic filariasis is one of the major public health problems across the globe. Clinical manifestations usually depend on the site of lymphatic involvement. A 21-year-old female resident of a non-endemic filarial region presented with axillary lymphadenopathy, bilateral pleural effusion, ascites and pedal oedema. Fine-needle aspiration cytology (FNAC) of axillary lymph nodes revealed microfilariae. On the administration of diethyl carbamazine, lymph nodes gradually disappeared, the patient improved symptomatically and the filarial antigen test after treatment was negative. We report this case of bilateral axillary lymphadenopathy with pleural effusion and ascites as a rare manifestation of filariasis.
authors.affiliation: Department of Medicine, University College of Medical Sciences, Delhi, India.
authors.forename: Amitesh
authors.initials: A
authors.lastname: Aggarwal
authors.forename: Lokesh Champally
authors.initials: LC
authors.lastname: Rajashekaraiah
authors.forename: Kiran
authors.initials: K
authors.lastname: Misra
authors.forename: Munish
authors.initials: M
authors.lastname: Dev
authors.forename: Vishal
authors.initials: V
authors.lastname: Sharma
mesh_terms: D000328:Adult; D000818:Animals; D001365:Axilla; D044963:Biopsy, Fine-Needle; D004049:Diethylcarbamazine / Q000627:therapeutic use; D004605:Elephantiasis, Filarial / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000469:parasitology*; D005260:Female; D005369:Filaricides / Q000627:therapeutic use; D005370:Filarioidea / Q000187:drug effects / Q000302:isolation & purification*; D006801:Humans; D008198:Lymph Nodes / Q000473:pathology; D008842:Microfilariae / Q000187:drug effects / Q000302:isolation & purification*; D010996:Pleural Effusion / Q000469:parasitology*; D055815:Young Adult
chemical_list: D005369:Filaricides; D004049:Diethylcarbamazine