Microfilarae in malignant mesothelioma associated pleural effusion with blood microfilaremia: a rare association

Authors

  • Dinesh Chandra Sharma Department of Chest, DSP Hospital, Durgapur Steel Plant Hospital, Durgapur, West Bengal, India
  • Deepanjali Sharma Department of Respiratory Medicine, Institute of Medical Sciences, BHU, Varanasi, India

DOI:

https://doi.org/10.18203/2349-3933.ijam20193300

Keywords:

Effusion, Filariasis, Mesothelioma, Microfilariae, Pleural

Abstract

Filariasis has a wide spectrum of presentation and usually involves the lung in the form of tropical pulmonary eosinophilia with pulmonary infiltrates and peripheral eosinophilia. Filariasis presenting with pleural effusion is an unusual presentation. Malignancy in association with filarial pleural effusion is extremely rare. In this context, we hereby report a case of 45 year old male who presented with right sided chest pain, cough, fever and generalized weakness. Pleural fluid cytology revealed microfilaria and pleural biopsies from pleural nodules confirmed malignant mesothelioma. Peripheral blood smears taken at night exhibited microfilaria with normal eosinophil counts, which is further uncommon.  Role of filariasis in tumorigenesis is controversial.

 

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Published

2019-07-24

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Section

Case Reports