Lymphatic Filariasis ( 2 фото )

Мечты об увеличении половых органов могут сбыться по разному

A healthy 72-year-old man who had emigrated from Zimbabwe 20 years previously presented to the dermatology clinic with a 17-year history of swelling of the penis, scrotum, and left leg. During a recent hospitalization, nonpitting edema of the left leg had been noted, and a urinary catheter had been placed temporarily (Panel A). At the current presentation, there was nonpitting edema of the penis and scrotum (Panel B), as well as ongoing swelling of the left leg. Laboratory testing showed an eosinophil count of 500 per cubic millimeter (normal range, 0 to 300). Magnetic resonance imaging of the pelvis showed swelling of the scrotal tissues on both sides; no hydrocele was present. An enzyme-linked immunosorbent assay and an indirect fluorescent antibody test for Wuchereria bancrofti were positive. A blood smear to identify microfilariae was not obtained. A diagnosis of chronic lymphatic filariasis — a mosquito-borne parasitic infection in which nematodes invade the lymphatic system — was made. The patient was treated initially with a course of doxycycline and single-dose albendazole. Single-dose diethylcarbamazine was given later, after tests for concomitant onchocerciasis and loiasis returned negative. Diethylcarbamazine administration is contraindicated in patients with lymphatic filariasis and concomitant onchocerciasis or loiasis owing to the risk of severe adverse reactions from the rapid killing of microfilariae. At follow-up 2 months after the completion of treatment, the patient’s symptoms had resolved. Matiar Madanchi, M.D. and Peter Itin, M.D., Ph.D. Published May 4, 2024 N Engl J Med 2024;390: e43


А если серьезно, непонятно, зачем столько терпел.

Крепкого здоровья!