Filariasis is a parasitic infection caused by nematode parasites that are transmitted through mosquito bites. It often progresses to a chronic stage characterized by lymphedema, elephantiasis, and hydrocele. Symptoms in the acute stage include lymphadenitis and lymphangitis. Diagnosis involves blood tests to detect microfilariae. Treatment focuses on prevention of transmission and medication to kill the parasites, along with management of symptoms and complications through hygiene, elevation of affected limbs, and elastic stockings or bandages.
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FILARIASIS
Filariasis is a parasitic infection caused by nematode parasites that are transmitted through mosquito bites. It often progresses to a chronic stage characterized by lymphedema, elephantiasis, and hydrocele. Symptoms in the acute stage include lymphadenitis and lymphangitis. Diagnosis involves blood tests to detect microfilariae. Treatment focuses on prevention of transmission and medication to kill the parasites, along with management of symptoms and complications through hygiene, elevation of affected limbs, and elastic stockings or bandages.
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FILARIASIS
FILARIASIS male genitalia: funiculitis,
A.K.A epidydimitis, orchitis (red Lymphatic Filariasis, Elephantiasis, painful and tender scrotum) Lymphedema, Wucheraria infection chronic stage A. Important information Hydrocoele (swelling of the - Often progresses to become scrotum) chronic, debilitating and disfiguring Lymphedema – temporary because its symptoms is not only swelling of the upper and lower unfamiliar, they are also extremities. noticeable. Elephantiasis – enlargement - Because of the patients’ physical and thickening of the skin of the appearance, a social stigma is lower and/or upper extremities, attached to it scrotum and breasts
B. Causative agent: Complication:
nematode parasites Wuchereria Tropical Pulmonary Eosinophilia bancrofti, brugia malayi, B.timori (TPE) - rare - parasites live in the lymphatic vessels and lymp nodes; G. Management microfilariae are found in the Prevention and control blood o Proper drainage and cleanliness of surroundings. C. Incubation period: o Use of insecticides, mosquito nets, From the entry of the infective long sleeves, long pants, and larvae to the development of socks. symptoms ranges from 8-16 o Screening of houses months. Medical care D. Mode of transmission: o Diethylcarbamazine citrate(DEC) or Through bites from an infected Hetrazan - drug of choice; female mosquito, the aedis 6mg/KBW taken as a single dose poecillus, at night per year. o Surgery for elemphantiasis and E. diagnostic/laboratory exams hydrocoele Nocturnal Blood Exam(NBE) o Antibiotics or antifungal or - done bet. 10am and 2pm superimposed infection.
Immunochromatographic Test (ICT)
Nursing care - antigen test is done at daytime Nursing care is primarily aimed at preventing the potential complications F. Clinical Manifestations that may develop. asymptomatic stage – for years or o If possible, elastic stockings or even a lifetime; characterized only bandages are applied to the by presence of microfilariae in the affected limbs, to assist venous blood return and prevent excessive edema. acute stage o Bedrest may be required in more lymphadenitis (inflammation severe cases, with elevation of the of the lymph nodes) involved extremities. lymphangitis (inflammation of lymph vessels)
Prepared by: Henessey Auda D. Castillo, Group 4 San Beda College - Mendiola FILARIASIS
o Suspensory bandages (scrotal
supports) may provide comfort in the event of hydrocele. o Clinical observation must include monitoring for any alteration in respiratory function. o Emphasis on regular periodic follow-up screening, with repeated treatment as and when indicated.
Prepared by: Henessey Auda D. Castillo, Group 4 San Beda College - Mendiola
(Dead Sea Scrolls Editions, 1) Lawrence H. Schiffman, New York University and Andrew D. Gross, Catholic University of America - The Temple Scroll 11Q19, 11Q20, 11Q21, 4Q524, 5Q21 With 4Q365a-BRILL (20