FILARIASIS PRESENTING AS AN EPIDIDYMAL NODULE: AN UNUSUAL PRESENTATION - CASE REPORT

Introduction Lymphatic filariasis is a public health problem in India. Main clinical features of chronic Bancroftian filariasis are hydrocele, elephantiasis and chyluria .We present an unusual case of genital filariasis which presented with microfilaria in epididymal nodule. Case presentation 35 year old man presented with a history of swelling in left epididymis for last 3 months insidious in onset and associated with mild pain. On examination there was a palpable, tender and firm nodule measuring 2 cm x1.5 cms in the left epididymis. FNAC revealed multiple microfilaria of W.bancrofti present in coiled and elongated forms and confirmed by the presence of sheath and absence of nuclei from tip and tail. The rest of the population comprised of neutrophils admixed with eosinophils lying in a partly haemorrhagic background. Conclusion FNAC has proved useful. This is unusual presentation of genital filariasis where microfiliaria have been reported in epididymal nodule