Microfilaria and Strongyloides larva diagnosed in cerebrospinal fluid and ascitic fluid, respectively: Approach to their morphology on cytology. Issue 10 (18th June 2019)

• Record Type: Journal Article
• Authors: Keloth, Thara; Rajkumari, Nonika; Gochhait, Debasis; Gudivada, Vijayalakshmi; Toi, Pampa Ch; Siddaraju, Neelaiah
• Is Part Of: Diagnostic cytopathology. Volume 47:Issue 10(2019)
• Page Start: 1055
• Page End: 1058
• Publication Date: 2019-06-18
• Subjects: ascitic fluid -- CSF -- microfilaria -- morphology -- Strongyloides larva; Cytodiagnosis -- Periodicals; Pathology, Cellular -- Periodicals; Cytology -- Periodicals; 616.07582
• DOI: 10.1002/dc.24257
• Languages: English
• ISSNs: 8755-1039

Abstract

Abstract: Filariasis and Strongyloidiasis are two endemic parasitic infections seen in any tropical country. Filariasis, commonly caused by Wuchereria bancrofti, Brugia malayi, and Brugia timori is seen often in peripheral blood and lymphoid tissue. But it can be isolated from wide variety of soft tissue sites in the body like soft tissue lumps, breast, thyroid, body fluids. Strongyloides stercoralis, a helminthic infection, usually affects the respiratory and gastrointestinal (GI) tract, and frequently picked up in GI biopsies. However, in cases of hyper infection and patients with altered immunity, it can be isolated from other rare sites like body fluid samples. Accurate morphological Identification and confirmation are important for specific management. We report a case of microfilaria isolated from cerebrospinal fluid and a case of S trongyloides larva isolated from ascitic fluid in clinically unsuspected cases of these two parasitic infestations. We have also added a brief discussion on morphological differences between the two larval forms.