Filarial Pericarditis Mimicking Metastatic Pericardial Effusion in a Young Male in Tropics: A Case Report
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 6
Abstract
Filariasis is a major public health problem in a tropical country like India. Famous Indian Physician Susruta in his book “Susruta Samhita” first described the disease in 6th Century. National Filarial Control (NFCP) was launched in 1955 but continuous increase in number of cases of filariasis shows failure of control programs. In India number of Filaria cases range from 31 millions of microfilaraemics to 23 million cases of symptomatic Filariasis & 473 million people at potential risk of developing filariasis. We here present a case of massive pericardial effusion which mimicked metastatic adenocarcinoma from a distant primary which otherwise proved to be caused by filariasis. Here we present a case of 28 yr male, resident of Patna district which is a Gangetic belt and an endemic zone for lymphatic filariasis. The patient presented to a Private Cardiology Hospital with complaints of cough since 45 days and shortness of breath since 20 days. This case is a pericardial effusion with low voltage complex on ECG. Hemorrhagic effusions are mostly suggestive of malignant effusions and are quite rare in filariasis. In this case on examination of the pericardial fluid microfilariae was observed in hemorrhagic background under the microscope but the peripheral blood was clear of any microfilariae, and there were no other findings of filariasis in the patient. The chemical findings did not suggest filariasis. Other causes of hemorrhagic pericardial effusion were ruled out. This case points to the fact that whenever any fluid is examined, it should be borne in mind that parasite infestation could be an occurrence, however rare it may be. Hence, in any patient with the above features and where a clear etiology to the pericardial effusion cannot be established, one must search thoroughly the microscopy of the fluid to check for microfilariae, especially if the patient is in the endemic zone.
Authors and Affiliations
Nidhish Kumar, Shadan Rabab, Satyendra N. Singh, Sharvani Singh, Tushar Priyanka
Keywords
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- EP ID EP532832
- DOI 10.21276/ijmrp.2018.4.6.018
- Views 96
- Downloads 0
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