Literature DB >> 21264173

Filarial pleural effusion.

K Gowrinath1.   

Abstract

Entities:  

Year:  2011        PMID: 21264173      PMCID: PMC3023874          DOI: 10.4103/1817-1737.74279

Source DB:  PubMed          Journal:  Ann Thorac Med        ISSN: 1998-3557            Impact factor:   2.219


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Sir, I read the article of Garg, et al.[1] with great interest. As a co-author of our work[2] cited in their article, I would like to make it clear that the microfilariae detected in the pleural biopsy material of our case were of Wuchereria bancrofti and not Mansonella perstans as quoted in the text by the authors. I was surprised to note that the closed pleural biopsy was not carried out as there was a chance to establish the filarial etiology within the pleura. Microfilariae reside in the arterioles of pulmonary system during daytime and appear in peripheral blood and other body fluids only in the night time during the peak biting time of mosquito vectors. The traditional diagnostic method of filariasis is to demonstrate microfilariae microscopically in the peripheral blood (capillary finger prick or thick venous blood smears) drawn in the night or presence of circulating filarial antigen.[3] Filariasis is a major health problem in India and microfilariae have been detected along with other diseases such as tuberculosis, non-Hodgkin’s disease, etc.[4] I am curious to know the scientific basis regarding the number of times a clinical specimen like pleural fluid can be tested and methodology adapted by the authors who successfully demonstrated microfilariae on all four occasions to conclude that the pleural effusion was due to filariasis only.
  4 in total

1.  Microfilariae in association with other diseases. A report of six cases.

Authors:  Kumud Gupta; Anjali Sehgal; Man Mohan Puri; Haresh Kumar Sidhwa
Journal:  Acta Cytol       Date:  2002 Jul-Aug       Impact factor: 2.319

2.  Nonresolving pleural effusion in an elderly woman: A case report.

Authors:  R Garg; R Sodhi; P Jabeed; A Rastogi
Journal:  Ann Thorac Med       Date:  2010-10       Impact factor: 2.219

Review 3.  Laboratory diagnosis of infections due to blood and tissue parasites.

Authors:  Jon E Rosenblatt
Journal:  Clin Infect Dis       Date:  2009-10-01       Impact factor: 9.079

4.  Pleural effusion due to lymphatic filariasis.

Authors:  V K Arora; K Gowrinath
Journal:  Indian J Chest Dis Allied Sci       Date:  1994 Jul-Sep
  4 in total
  2 in total

1.  Microfilaria in pleural fluid.

Authors:  Viroj Wiwanitkit
Journal:  Ann Thorac Med       Date:  2011-07       Impact factor: 2.219

2.  Triple Co-infection of Malaria, Filaria, and Dengue: A Rare Entity.

Authors:  Vk Satyawali; Shanti Pandey; Vinita Rawat; Mohm Khalil
Journal:  J Lab Physicians       Date:  2014-07
  2 in total

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