Presentation
Abstract Isolated penile and scrotal elephantiasis presents a diagnostic and therapeutic challenge. We report a case of chronic penile and scrotal elephantiasis caused by indolent Chlamydia trachomatis infection. [ncbi.nlm.nih.gov]
Presentation of the case A 65-year-old man presented in Beira Central Hospital, Mozambique, with a right scrotal mass (diameter 80 x 80 cm), evolved over 15 years. [journals.plos.org]
Entire Body System
-
Recurrent Urinary Tract Infection
Suprapubic cystostomy had been performed outside our institution ten years ago due to residual urine and recurrent urinary tract infections. There was no history of sexual contact, surgery, irradiation or travel. [jmedicalcasereports.biomedcentral.com]
-
Foul Smelling Discharge
After rupture, the lesions often extrude a purulent, foul-smelling discharge. As the disease process continues, fibrosis, dermal contractures and induration of the skin may occur. [urologyannals.com]
Neurologic
-
Neurologic Manifestation
Manifestations of HIV 910 Chapter 77 Gastrointestinal Manifestations of HIV Infection and AIDS 927 Chapter 78 Renal Manifestations of HIV Infection and AIDS 951 Chapter 79 HIV and Endocrine Manifestations 960 Chapter 80 AIDS Associated Malignancies and [books.google.com]
Urogenital
-
Scrotal Pain
Englisch-Deutsch 130 scrotal hydrocele Skrotumhydrozele f, Hodensackwasserbruch m Fachwörterbuch Medizin Englisch-Deutsch 131 scrotal hypospadias Fachwörterbuch Medizin Englisch-Deutsch 132 scrotal lymphangitis Fachwörterbuch Medizin Englisch-Deutsch 133 scrotal [translate.academic.ru]
For that reason any acute scrotal pain with edema requires urgent and specialized evaluation. [lymphedemapeople.com]
Workup
Serum
-
C-Reactive Protein Increased
C-reactive-protein increased. Series of autoimmune antibody tests were negative. [ncbi.nlm.nih.gov]
C-reactive-protein increased. We also performed a series of autoimmune antibody tests, and all the results were negative. He refused any genetic test. Figure 1: (A) Hidradenitis suppurativa on the patient's back. [journals.lww.com]
-
Hypercholesterolemia
His medical history included morbid obesity, non-insulin dependent diabetes mellitus, hypercholesterolemia and hypertension. Medications included metformin, aspirin, rosuvastatin and amlodipine. Physically, he was 6 feet tall and 475 pounds. [thefreelibrary.com]
Treatment
One year after surgical treatment, the patient is healthy without recurrence signs. [ncbi.nlm.nih.gov]
Various surgical methods for treatment of HS have been described. [urologyannals.com]
Prognosis
Each patient's treatment and prognosis are summarized in Table 1.[3,11–17] Timely surgical intervention is necessary to achieve good prognosis for secondary urogenital diseases. Table 1: Clinical features in eight cases. [journals.lww.com]
Treatment and prognosis Treatment options include diethylcarbamazine (DEC) 6 mg/kg body weight in combination with albendazole. Complications Grossly dilated lymphatics and edema progressing to elephantiasis. [radiopaedia.org]
Prognosis depends on early and urgent surgical management. You may thus request that your data, should it be inaccurate, incomplete, unclear, outdated, not be used or stored, be corrected, clarified, updated or deleted. [santicavision.info]
References : Lymphatic filariasis: Guidance for evaluation and treatment Lymphatic filariasis: Prognosis [flipper.diff.org]
PCR methods have recently been found useful for diagnosis of culture negative cases. 56 The prognosis for fertility following tuberculous salpingitis is poor 57 and the risk of ectopic pregnancy is increased. [sti.bmj.com]
Etiology
Although genetic causes were searched and the possible role of infectious agents and compressive factors was evaluated, no etiology was ascertained. [ncbi.nlm.nih.gov]
The etiology of the lymphedema usually determines the natural course and the therapeutic approach. [jmedicalcasereports.biomedcentral.com]
In Mozambique, as in many other countries of sub-Saharan Africa, lymphatic filariasis represents the most important etiology [1]. [journals.plos.org]
The content explores the etiologic agents of human disease belonging to the animal kingdom: protozoa, helminths (worms), and arthropods (insects and spiders), all of which are a significant cause of, or link to illness encountered both in tropical and [books.google.com]
Epidemiology
In addition to providing detailed descriptions of these agents, this text deals with the clinical diseases they cause, their modes of acquisition, transmission and epidemiology, and their pathogenesis, diagnosis, treatment and prevention. [books.google.com]
Looking at the epidemiological and clinical findings, we made a diagnosis of penoscrotal elephantiasis. The patient had taken a dose of anti filarial drugs (albendazol and ivermectin). [bacandrology.biomedcentral.com]
( 26281791 ) 2015 35 Epidemiology of elephantiasis with special emphasis on podoconiosis in Ethiopia: A literature review. ( 26119541 ) 2015 36 Massive Soft Tissue Neurofibroma (Elephantiasis Neuromatosa): Case Report and Review of Literature. ( 25694465 [malacards.org]
Descriptive epidemiology of lymphatic filariasis in Ghana. Trans R Soc Trop Med Hyg 1996;90:26–30. 7. Dunyo SK, Appawu M, Nkrumah FK, Baffoe-Wilmot A, Pedersen EM, Simonsen PE et al. Lymphatic filariasis on the coast of Ghana. [jmedtropics.org]
Pathophysiology
After briefly presenting an overview of the demography of subfecundity, this book goes on exploring the pathophysiology and effect on fecundity of various diseases, which are classified into three groups. [books.google.com]
Pathophysiology The pathophysiology is permanent lymphatic dilatation and dysfunction. This leads to swelling and secondary infections resulting in chronic skin changes and continued risk of infection. [dermatologyadvisor.com]
Prevention
Chapter 69 Surrogate Markers of Antiretroviral Efficacy 826 Overcoming Barriers to Providing ARV Therapy in ResourceLimited Settings 831 Chapter 71 Antiretroviral Drugs for HIV Prevention 836 Chapter 72 Acute HIV Infection 843 Chapter 73 Opportunistic [books.google.com]
Centers for Disease Control and Prevention (CDC). The swellings are caused by the buildup of fluids and waste products—since the lymphatic system is not functioning properly—and can leave sufferers more susceptible to infections. [newsweek.com]
Large-scale treatment (preventive chemotherapy) Elimination of lymphatic filariasis is possible by stopping the spread of the infection through preventive chemotherapy. [who.int]