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      Microfilaria in a patient of achylous hematuria: A rare finding in urine cytology

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          Abstract

          Filariasis is a widespread public health problem seen commonly in tropical countries. Microfilariae have been reported in aspiration smears from various sites. However, it is very rare to detect these organisms in voided centrifuged urine cytology. We, report this rare finding in a 25-year-old patient who presented with achylous hematuria.

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          Microfilariae in fine needle aspirates: a report of 22 cases.

          Purnima N Yenkeshwar, Dinkar Kumbhalkar, Sudhakar Bobhate (2006)
          The objective of the study is to document the value of fine needle aspiration cytology (FNAC) in the diagnosis of filariasis at all possible sites in both exfoliative cytologic material and fine needle aspirates. Both unguided and guided FNACs of all foci were studied over a period of two years between 1999 to 2000. Total 22 cases of filariasis were detected which included subcutaneous swellings(7), breast(3), thyroid(3), lymphnodes(3), effusions(3), cervical scrape(1), eyeball(1), sputum(1) and bronchial washing(1). In none of these cases was filariasis considered a diagnostic possibility. Cytologic smears showed eosinophils in 9 cases, oval ova and embryonated eggs in 2 cases. Microfilariae were associated with other diseases in 13 cases, including 6 cases of malignancy. Significant adherence of inflammatory cells and macrophages to microfilariae was present in 6 of the 22 cases. In endemic areas,filariasis should be considered one of the differential diagnosis of a swelling. Thus demonstration and identification of the parasite in cytologic smears played a significant role in the prompt recognition of the disease and institution of specific treatment, thus obviating the more severe manifestations of lymphatic frilariasis.
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            Microfilariae of Wuchereria bancrofti in cytologic smears.

            Christi A. Walter, H Krishnaswami, A Cariappa (2015)
            Microfilariae of Wuchereria bancrofti were observed in cytologic material in 35 cases. The material included cervicovaginal smears (17 cases), effusions (14), urine (2), bronchial washings (1) and ovarian cyst fluid (1). The initial diagnosis was made from the cytologic smear in all cases; none had clinical filariasis. Symptomatic vaginal bleeding in 9 of the 17 cases with microfilaria-positive cervicovaginal smears was reflected in the large numbers of red blood cells found in the smear. Blood eosinophilia was present in 11 of 19 cases investigated. Eosinophils were seen in the smears in 20 cases. In the majority of the cases of effusions with microfilariae the effusions were malignant. Significant adherence of inflammatory cells and macrophages to microfilariae was present in 7 of the 35 cases. The significance of these findings is discussed.
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              Microfilaruria in a patient of intermittent chyluria

              Ankit Seth (2009)
              Besides peripheral blood smears, microfilariae have been described in aspirate smears from different sites. Identification of microfilariae in the chylous urine of otherwise asymptomatic filarial patients has been rarely described. One such case is presented.
              Article 0 comments Cited 6 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): J Cytol
                Journal ID (iso-abbrev): J Cytol
                Journal ID (publisher-id): JCytol
                Title: Journal of Cytology / Indian Academy of Cytologists
                Publisher: Medknow Publications & Media Pvt Ltd (India )
                ISSN (Print): 0970-9371
                ISSN (Electronic): 0974-5165
                Publication date (Print): Apr-Jun 2012
                Volume: 29
                Issue: 2
                Pages: 147-148
                Affiliations
                [1]Department of Pathology, All India Institute of Medical Sciences, New Delhi, India
                [1 ]Department of Urology, All India Institute of Medical Sciences, New Delhi, India
                Author notes
                Address for correspondence: Dr. Sandeep Mathur, Department of Pathology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi – 110 029, India. E-mail: mathuraiims@ 123456gmail.com
                Article
                Publisher ID: JCytol-29-147
                DOI: 10.4103/0970-9371.97163
                PMC ID: 3391801
                PubMed ID: 22787301
                SO-VID: 6ee487db-670f-40fc-a95b-b2a42e838330
                Copyright © Copyright: © Journal of Cytology
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Categories
                Subject: Case Report

                ScienceOpen disciplines: Pathology
                Keywords: urine cytology,microfilariae,filariasis,hematuria
                Data availability:
                ScienceOpen disciplines: Pathology
                Keywords: urine cytology, microfilariae, filariasis, hematuria

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