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Ultrasonigraphic Evidence of Abnormal Lymphatic Vessels in Young Men with Adult Wuchereria Bancrofti Infection in the Scrotal Area
Authors:Joaquim Noroes  David Addiss  Abiel Santos  Zulma Mereidos  Amaury Coutinho  Gerusa Dreyer
Affiliation:Hospital das Clinicas, UFPE and Departamento de Parasitologia, Centro de Pesquisas Aggeu Magalhaes-FIOCRUZ, Recife, Brasil, and Division of Parasitic Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Abstract:

Purpose

We determined the prevalence and magnitude of dilatation of the lymphatic vessels of the spermatic cord in men infected with Wuchereria bancrofti, which is a known major cause of hydrocele in the tropics.

Materials and Methods

Scrotal ultrasound was performed with a 7.5 MHz, transducer in 78 men from Recife, Brazil (endemic for filariasis) and in 15 from a nonendemic area.

Results

Among men from Recife the lymphatic vessels were dilated (1.3 to 15.0 mm., mean 3.8) at the location of the adult worm. Vessel diameter was not associated with hydrocele.

Conclusions

Lymphatic dilatation was observed in all men with ultrasonographically detectable W. bancrofti infection, even those who were asymptomatic.
Keywords:
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