Case Report

Lymphedema resulting from filariasis successfully treated by surgery

Karlina N. Kasim, Siswanto Wahab, Khairuddin Djawad, Nurelly N. Waspodo, Mulawardi Mulawardi
Journal of Public Health in Africa | Vol 11, No 1 | a538 | DOI: https://doi.org/10.4081/jphia.2020.1059 | © 2024 Karlina N. Kasim, Siswanto Wahab, Khairuddin Djawad, Nurelly N. Waspodo, Mulawardi Mulawardi | This work is licensed under CC Attribution 4.0
Submitted: 23 April 2024 | Published: 29 April 2020

About the author(s)

Karlina N. Kasim, Department of Dermatology and Venereology, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia
Siswanto Wahab, Department of Dermatology and Venereology, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia
Khairuddin Djawad, Department of Dermatology and Venereology, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia
Nurelly N. Waspodo, Department of Dermatology and Venereology, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia
Mulawardi Mulawardi, Department of Surgery, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia

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Abstract

Filariasis is an infectious disease caused by a filarial worm infection transmitted by mosquito bites. The disease can result in reduced work productivity, disability and social stigma. This disease transmission process begins when a mosquito bite and suck the blood containing the microfilaria. Filarial infections have been grouped into three categories based on their location diseases of the disease: (1) lymphatics, (2) skin, and (3) body cavities. Morbidity is almost entirely due to the species that cause lymphatic diseases, and skin diseases to a lesser degree. A 28-year-old male came with a chief complaint of swollen right leg since four years ago which worsened in the last three months. Upon physical examination, edema, fibrosis, and hyper-pigmented plaques were present on the right lower extremity. The blood microfilariae examination was positive for Wuchereria bancrofti. The lymphedema did not resolve despite of antifilarial treatment and surgery was eventually performed to resect the fibrous tissue and subcutaneous edema. The patient responded well to the treatment with a significant reduction in the edema. No complication was present until two years after surgery.

Keywords

filariasis; lymphedema; surgical therapy

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