Mani Dubey1, Nutan Joshi1*, Niteen D Karnik1, Namita Padwal1, Sujata Baveja2 and Louis Aledort3
1Department of Medicine, Lokmanya Tilak Municipal Medical College and LTM General Hospital, India 2Department of Microbiology, Lokmanya Tilak Municipal Medical College and LTM General Hospital, India 3Department of Hematology and Medical Oncology, Icahn School of Medicine, USAFulltext PDF
Filariasis still remains a major health burden globally and is endemic in Southeast Asian countries including India. The aim of this article to highlight a rare manifestation of lymphatic filariasis in pregnancy. We report a 25 years old multigravida with 7 months gestation who presented with painful axillary lymphadenopathy and low grade fever since 25 days. Her haemogram had eosinophilia with peripheral smear showing microfilaria larva. Ultrasonography of left axilla was suggestive of dilated lymphatic channels within the swelling with filarial dance sign present. She was treated upon diagnosis with oral ivermectin 6 mg, which lead to resolution of lymphadenopathy with subsequent uneventful delivery of a healthy newborn. Physicians in endemic area should be alert to a differential diagnosis of filariasis for lymphadenopathy in pregnancy.
Dubey M, Joshi N, Karnik ND, Padwal N, Baveja S, Aledort L. Lymphadenopathy in Pregnancy: A Dance of Filaria. Clin Case Rep Int. 2020; 4: 1154.