Unilateral Leg Swelling
Abstract: A 50-year old man
was consulted due to right leg swelling concomitant with redness and pain since
two months between admission. The patient experienced fever and dull pain in
right inguinal region before the leg became swollen. Antibiotic and antipyretic
had been given but gave unsatisfaction response. No history of bedridden,
hospitalization, or malignancy. He worked as a palm oil farmer in Geragas
Village, langkat District, North Sumatera, Indonesia, an endemic region of
Bancroftian filariasis.
Physical examination revealed normal vital signs, there was non pitting
oedema and redness in right gastrocnemius region (Figure 1). Laboratory results
of routine blood count and haemostasis were within normal limit, except
leucocytosis (12000/m3) and eosinophilia (15%). Peripheral blood sample was
drawn between 10 pm and 2 am and showed positive microfilariae with gently
curved body, a tail that is tapered to a point, and the nuclear column is
loosely packed, appropriate for Wuchereria bancrofti (Figure 2).
Author: Umar Zein, Hadiki
Habib
Journal Code: jpkedokterangg140304
