Сначала анекдот.Учитель биологи на уроке в три колбы рабивает по куриному яйцу, и запускает туда червей. Черви плавают, изгибаются по разному... Учитель закуривает и выдыхает в одну из колб дым - черви дохнут. Достает бутылку водки - добавляетв в другую колбу немножко - черви дохут и там. А той куда ничего не добавляли, плавают, веселятся....
Ну, дети, какой из этого можно делать вывод???
Тянет руку Вовочка.
Если не пить и не курить, в яйцах черви заведутся!
Но.... жизнь кучерявее анекдоов.
Filarial Dance Sign in Lymphatic Filariasis of the Scrotum
A 26-year-old man presented to the outpatient clinic with a 1-month history of pain and swelling in the scrotum and low-grade fevers. His body temperature was 37.5°C. On examination, there was tenderness and swelling of the right side of the scrotum. Laboratory studies showed an absolute eosinophil count of 1180 per cubic millimeter (reference value, <500). An ultrasound examination of the scrotum showed anechoic tubular channels (arrow) near the right testis (asterisk) and epididymal head. Color flow was absent in the channels on color-flow Doppler imaging. Echogenic, linear structures could be seen moving within one of the channels (arrowhead; see video), a finding in lymphatic filariasis known as “filarial dance sign.” Lymphatic filariasis is a parasitic infection caused by mosquito-transmitted nematodes. The dance sign represents the undulations of live worms that have migrated into lymphatic channels, causing dilation and dysfunction of the channels. Ultrasound-guided aspiration of scrotal lymphatic fluid was performed, and live microfilariae of the species Wuchereria bancrofti were identified on light microscopy. The organisms were also seen on a peripheral-blood smear. After a 3-week course of oral diethylcarbamazine, the patient’s symptoms abated, and the motile microfilariae were no longer seen on ultrasonography.Amit K. Sahu, M.B., B.S., D.N.B.
Bharat Aggarwal, M.B., B.S., M.D.Max Super Specialty Hospital, New Delhi, India
December 8, 2022 N Engl J Med 2022; 387:e61 DOI: 10.1056/NEJMicm2022348
Крепкого здоровья!
Journal information