Filaria: a tropical disease as the etiology of acute scrotum

In the diagnosis and treatment of acute scrotal pain and swelling it is important to differentiate between testicular torsion and epididymo-orchitis. A special case of a thirty-eight-year-old male asylant from Nepal was presented in the urological service with acute scrotal pain. To exclude testicul...

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Bibliographic Details
Published in:Urologe. Ausgabe A 1997-01, Vol.36 (1), p.84
Main Authors: Müssner, W, Bösch, J, Buhl, D, Neuweiler, J, Bandhauer, K
Format: Article
Language:ger
Subjects:
Acute Disease
Adult
Animals
Diagnosis, Differential
Diethylcarbamazine - administration & dosage
Filariasis - diagnosis
Filariasis - pathology
Filariasis - surgery
Filaricides - administration & dosage
Humans
Male
Scrotum - parasitology
Scrotum - pathology
Scrotum - surgery
Wuchereria bancrofti
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Summary:In the diagnosis and treatment of acute scrotal pain and swelling it is important to differentiate between testicular torsion and epididymo-orchitis. A special case of a thirty-eight-year-old male asylant from Nepal was presented in the urological service with acute scrotal pain. To exclude testicular torsion, a diagnostic exploration of the scrotum was done with the findings of an acute funiculitis with abscess formation. Under surgical drainage of abscess together with medical treatment the acute inflammation disappeared. The diagnosis of filarial funiculitis was made after identifying the microfilariae in a blood vessel and in the peripheral blood smear. A filaricide medication with diethylcarbamacine citran was administered with good symptomatic relief.
ISSN:0340-2592