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Journal of Tropical Pediatrics Advance Access originally published online on December 18, 2008
Journal of Tropical Pediatrics 2009 55(5):332-334; doi:10.1093/tropej/fmn111
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© The Author [2008]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Case Reports

Lymphadenovarix of the Head–Neck region—A Rare Presentation of Bancroftian Filariasis

Raghav Chandra Dwivedia, Prashant Guptab, Ravi Chandra Dwivedic, Kaushal Kishored and Naresh Bhatiae

aHead-Neck Unit, Royal Marsden Hospital, Fulham Road, London SW3 6JJ, UK
bDepartment of Microbiology, King George's Medical University, Lucknow 226007, India
cDepartment of internal medicine, University of Mannitoba, Winnipeg, Canada
dDepartment of Radiodiagnosis, King George's Medical University, Lucknow 226007, India
eDepartment of Otolaryngology and Head Neck Surgery, King George's Medical University, Lucknow 226007, India

Correspondence: Dr Raghav Dwivedi, MS, Head-Neck Unit, The Royal Marsden Hospital, Fulham Road, London, SW3 6JJ, UK. E-mail: <raghav_dwivedi{at}rediffmail.com>.


  Abstract

Cystic swellings of the neck in children have limited differential diagnoses, often either lymphatic or vascular malformations. Other cystic inflammations can be the result of tuberculous abscesses, suppurated lymph nodes and actinomycosis. Microfilaria causing lmphadenovarix of head–neck region has not yet been described in the literature. A 10-year-old Indian boy presented with an asymptomatic cystic neck mass of 8 months duration. Aspiration of the swelling demonstrated numerous Wuchereria bancrofti microfilaria and the patient responded well to 6 weeks of daily anti-filarial treatment using diethylcarbamazine citrate (6mg kg–1 day–1). This appears to be the first report of microfilariae-associated lymphadenovarix of head–neck region. Though rare, filariasis should be considered as a differential diagnosis for aberrant swellings where lymphatic filarids are endemic.

Key Words: Posterior triangle • Microfilaria • Wuchereria bancrofti


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