Limits...
Breast Filariasis Diagnosed by Real Time Sonographic Imaging: A Case Report.

Sherwani P, Singhal S, Kumar N, Narula MK, Anand R, Pathania OP - Iran J Radiol (2016)

Bottom Line: A 30-year-old woman presented with a palpable subcutaneous nodule in the areolar region of the left breast.Sonomammographic examination revealed 2 cystic lesions showing typical "filarial dance" as vigorous twirling movement of multiple curvilinear echoes with mixed red blue color Doppler signals that was non-rhythmic, nonpulsatile, and the characteristic pulse Doppler trace due to irregular worm movement.Real time sonographic demonstration of these typical features is pathognomonic for filariasis, especially in endemic areas and treatment should be initiated without delay on the basis of ultrasound.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiodiagnosis, Lady Hardinge Medical College, Smt Sucheta Kriplani Hospital, New Delhi, India.

ABSTRACT
A 30-year-old woman presented with a palpable subcutaneous nodule in the areolar region of the left breast. Sonomammographic examination revealed 2 cystic lesions showing typical "filarial dance" as vigorous twirling movement of multiple curvilinear echoes with mixed red blue color Doppler signals that was non-rhythmic, nonpulsatile, and the characteristic pulse Doppler trace due to irregular worm movement. Real time sonographic demonstration of these typical features is pathognomonic for filariasis, especially in endemic areas and treatment should be initiated without delay on the basis of ultrasound.

No MeSH data available.


Related in: MedlinePlus

A, Follow-up ultrasound showed prominence of lymphatic channels with linear echoes (arrow), and loss of twirling movement (dead worms). B, the color motion artifact was not seen.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4835870&req=5

fig23514: A, Follow-up ultrasound showed prominence of lymphatic channels with linear echoes (arrow), and loss of twirling movement (dead worms). B, the color motion artifact was not seen.

Mentions: The patient was treated with a regimen of diethylcarbamazine citrate 100 mg thrice daily for 2 weeks with a 2-week drug-free interval between each course for a period of 3 months. The follow-up ultrasound that was performed after 2 weeks of treatment showed prominent lymphatic channels in the subcutaneous tissue and significant reduction in the dilatation of the deep lymphatic channels. Twirling movement of the worms was no longer seen that was suggestive of dead worms (Figure 4A and B).


Breast Filariasis Diagnosed by Real Time Sonographic Imaging: A Case Report.

Sherwani P, Singhal S, Kumar N, Narula MK, Anand R, Pathania OP - Iran J Radiol (2016)

A, Follow-up ultrasound showed prominence of lymphatic channels with linear echoes (arrow), and loss of twirling movement (dead worms). B, the color motion artifact was not seen.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4835870&req=5

fig23514: A, Follow-up ultrasound showed prominence of lymphatic channels with linear echoes (arrow), and loss of twirling movement (dead worms). B, the color motion artifact was not seen.
Mentions: The patient was treated with a regimen of diethylcarbamazine citrate 100 mg thrice daily for 2 weeks with a 2-week drug-free interval between each course for a period of 3 months. The follow-up ultrasound that was performed after 2 weeks of treatment showed prominent lymphatic channels in the subcutaneous tissue and significant reduction in the dilatation of the deep lymphatic channels. Twirling movement of the worms was no longer seen that was suggestive of dead worms (Figure 4A and B).

Bottom Line: A 30-year-old woman presented with a palpable subcutaneous nodule in the areolar region of the left breast.Sonomammographic examination revealed 2 cystic lesions showing typical "filarial dance" as vigorous twirling movement of multiple curvilinear echoes with mixed red blue color Doppler signals that was non-rhythmic, nonpulsatile, and the characteristic pulse Doppler trace due to irregular worm movement.Real time sonographic demonstration of these typical features is pathognomonic for filariasis, especially in endemic areas and treatment should be initiated without delay on the basis of ultrasound.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiodiagnosis, Lady Hardinge Medical College, Smt Sucheta Kriplani Hospital, New Delhi, India.

ABSTRACT
A 30-year-old woman presented with a palpable subcutaneous nodule in the areolar region of the left breast. Sonomammographic examination revealed 2 cystic lesions showing typical "filarial dance" as vigorous twirling movement of multiple curvilinear echoes with mixed red blue color Doppler signals that was non-rhythmic, nonpulsatile, and the characteristic pulse Doppler trace due to irregular worm movement. Real time sonographic demonstration of these typical features is pathognomonic for filariasis, especially in endemic areas and treatment should be initiated without delay on the basis of ultrasound.

No MeSH data available.


Related in: MedlinePlus