Microfilarial involvement of the neck region: A case report and review of literature期刊界 All Journals 搜尽天下杂志传播学术成果专业期刊搜索期刊信息化学术搜索

Microfilarial involvement of the neck region: A case report and review of literature

Affiliation:	1. Senior Resident, Central Institute of Orthopaedics (CIO), VMMC & Safdarjung Hospital, New Delhi 110029, India;2. Assistant Professor, Central Institute of Orthopaedics (CIO), VMMC & Safdarjung Hospital, New Delhi 110029, India;3. Professor (Pathology), Central Institute of Orthopaedics (CIO), VMMC & Safdarjung Hospital, New Delhi 110029, India;1. Assistant Professor, Department of Anaesthesiology & Critical Care, Pt. B.D. Sharma PGIMS, Rohtak, Haryana, India;2. Senior Professor, Department of Orthopaedic Surgery, Paraplegia & Rehabilitation, Pt. B.D. Sharma PGIMS, Rohtak, Haryana, India;3. Ex-Resident, Department of Orthopaedic Surgery, Paraplegia & Rehabilitation, Pt. B.D. Sharma PGIMS, Rohtak, Haryana, India;4. Senior Professor, Department of Radiology, Pt. B.D. Sharma PGIMS, Rohtak, Haryana, India;5. Resident, Department of Orthopaedic Surgery, Paraplegia & Rehabilitation, Pt. B.D. Sharma PGIMS, Rohtak, Haryana, India;1. Department of Orthopedics, Mugla Sıtkı Kocman University, Mugla, Turkey;2. Department of Orthopedics, Simav Public Hospital, Kütahya, Turkey;3. Department of Orthopedics, Ankara Training and Research Hospital, Ankara, Turkey;1. Department of Emergency Medicine, Shohadaye Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran;2. Department of Physiology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran;3. Department of Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran;4. Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran;5. Emergency Medicine Department, Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran;6. Emergency Medicine Research Team, Tabriz University of Medical Sciences, Tabriz, Iran;7. Emergency Medicine Department, Urmia University of Medical Sciences, Urmia, IR, Iran;8. Department of Intensive Care Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran;9. Department of Emergency Medicine, School of Medicine, Bushehr University of Medical Sciences, Bushehr, Iran;10. Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran;1. Department of Orthopaedic Surgery, Boston Medical Center, Boston, Massachusetts, USA;2. Boston University School of Medicine, Boston, Massachusetts, USA;1. Department of Pathology, All India Institute of Medical Sciences, New Delhi, India;2. Senior Research Associate, Department of Pathology, All India Institute of Medical Sciences, New Delhi 110029, India;3. Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India

Abstract:	IntroductionFilariasis is caused by parasitic infections, most commonly Brugia malayi and Wuchereria bancrofti. India is one of the endemic countries for such disease. The usually involved organs are lower limbs and external genitalia. Neck region is rarely involved and only a few cases have been reported in literature.Case reportWe reported such a case where filarial involvement has involved the neck region and reached up to the level of upper cervical vertebra. A huge neck swelling and torticollis were the main presenting features. Diagnosis was confirmed by MRI and live presence of microfilarial parasite in FNAC. The patient responded excellently to antihelminthic drugs. He has been under our regular follow-up and there has been no complication till date.DiscussionThe purpose of this case report was to highlight this rare presentation of microfilaria parasite.

Keywords:	Cervical spine Microfilaria Torticollis Parasite Antihelminthic drugs
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