Description of the parasite Wucheria Bancrofti Microfilariae identified in follicular fluid following transvaginal oocyte retrieval

Introduction This case study presents an unusual finding of filarial infection within follicular fluid obtained during an in vitro fertilization (IVF) oocyte retrieval procedure. Case A 41 year-old G4P1030 immigrant from western Africa underwent in vitro fertilization (IVF). At the time of inspectio...

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Bibliographic Details
Published in:Journal of assisted reproduction and genetics 2011-05, Vol.28 (5), p.433-436
Main Authors: Brezina, Paul R., Yunus, Fahd, Garcia, Jairo, Zhao, Yulian
Format: Article
Language:English
Subjects:
Adult
Animals
Case reports
Coinfection
Embryo Transfer
Female
Filariasis - drug therapy
Filariasis - parasitology
Follicular Fluid - parasitology
Gonadal Physiology and Disease
Gynecology
Human Genetics
Humans
Medicine
Medicine & Public Health
Oocyte Retrieval
Pregnancy
Reproductive Medicine
Treatment Outcome
Wuchereria bancrofti
Wuchereria bancrofti - isolation & purification
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Summary:Introduction This case study presents an unusual finding of filarial infection within follicular fluid obtained during an in vitro fertilization (IVF) oocyte retrieval procedure. Case A 41 year-old G4P1030 immigrant from western Africa underwent in vitro fertilization (IVF). At the time of inspection of the follicular fluid obtained at oocyte retrieval, mobile worm-like organisms were observed and identified as Wuchereria bancrofti microfilariae (filariasis). The patient successfully underwent treatment for filariasis and Onchocerciasis co-infection. Following treatment, the patient underwent embryo transfer that failed to result in a pregnancy. Discussion Recent years have seen an increase in international travel and immigration. Therefore, practitioners must become familiar not only with illnesses that are endemic to their geographic region but also diseases that are more common in remote regions of the world. The infertility evaluation and treatment offers physicians a unique opportunity to identify and initiate treatment for diseases that might otherwise go undiagnosed.
ISSN:1058-0468
1573-7330
DOI:10.1007/s10815-011-9538-4