Report of four clinical cases of filariasis in Alto Nanay, Loreto

Authors

  • Javier Vargas-Herrera Centro Nacional de Salud Pública, Instituto Nacional de Salud. Lima, Perú. Facultad de Medicina, Universidad Nacional Mayor de San Marcos. Lima, Perú. Médico epidemiólogo.
  • Nancy Arróspide-Velasco Centro Nacional de Salud Pública, Instituto Nacional de Salud. Lima, Perú. biólogo.
  • Sonia Gutierrez-Gonzáles Centro Nacional de Salud Pública, Instituto Nacional de Salud. Lima, Perú. biólogo.
  • Juan C. Celis-Salinas Hospital Regional de Loreto. Loreto, Perú. médico infectólogo.
  • Daniel Huamaní-Solano Centro de Salud Santa María de Nanay. Loreto, Perú. médico general.
  • Luis Loza-Hermenegildo Hospital Regional de Loreto. Loreto, Perú. médico patólogo.
  • Julio Elgegren-Lao Hospital Regional de Loreto. Loreto, Perú. Universidad Nacional de la Amazonía Peruana. Loreto, Perú. médico cardiólogo.
  • José Armas-Montes Hospital Regional de Loreto. Loreto, Perú. Universidad Nacional de la Amazonía Peruana. Loreto, Perú. médico nefrólogo.
  • Juan Baca-Pérez Hospital Regional de Loreto. Loreto, Perú. médico oftalmólogo.
  • César Cabezas Centro Nacional de Salud Pública, Instituto Nacional de Salud. Lima, Perú. Facultad de Medicina, Universidad Nacional Mayor de San Marcos. Lima, Perú.

DOI:

https://doi.org/10.17843/rpmesp.2013.303.291

Keywords:

Filariasis, Pathology, clinical, Neglected diseases

Abstract

This study describes the clinical, parasitological and laboratory findings of four patients who lived in the district of Alto Nanay, Maynas, Loreto, Peru and were infected with Mansonella ozzardi microfilariae. Clinical examinations by ophthalmologists, cardiologists and nephrologists were performed. In case 1, the presence of 2 subcutaneous lumps was the most important finding, one at dorsal level and the other in the lower third of the left leg; in case 2, there was a sensation of tingling or coldness in the legs; in case 3, an associated chronic hepatitis B infection was found, and in case 4, a large lump was detected in the left lumbar region. All 4 patients were infected with Mansonella ozzardi and had eosinophilia, 3 of them in percentages of 20%. The lump found in case 4 was due to a herniation of bowel content. Further clinical studies and an evaluation of the actual pathogenic effect of microfilariae are to be performed. A study of the genetic diversity of filariae in the Peruvian Amazon would also be important.

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Published

2014-03-11

Issue

Section

Case Report

How to Cite

1.
Vargas-Herrera J, Arróspide-Velasco N, Gutierrez-Gonzáles S, Celis-Salinas JC, Huamaní-Solano D, Loza-Hermenegildo L, et al. Report of four clinical cases of filariasis in Alto Nanay, Loreto. Rev Peru Med Exp Salud Publica [Internet]. 2014 Mar. 11 [cited 2024 May 27];30(3). Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/291

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