Unilateral Leg Swelling

A 50-year old man was consulted due to right leg swelling concomitant with redness and pain since two months between admission. The patient experienced fever and dull pain in right inguinal region before the leg became swollen. Antibiotic and antipyretic had been given but gave unsatisfaction respo...

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Main Authors: Umar Zein, Hadiki Habib
Format: Article
Language:English
Published: Interna Publishing 2014-01-01
Series:Acta Medica Indonesiana
Online Access:https://mail.actamedindones.org/index.php/ijim/article/view/69
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author Umar Zein
Hadiki Habib
author_facet Umar Zein
Hadiki Habib
author_sort Umar Zein
collection DOAJ
description A 50-year old man was consulted due to right leg swelling concomitant with redness and pain since two months between admission. The patient experienced fever and dull pain in right inguinal region before the leg became swollen. Antibiotic and antipyretic had been given but gave unsatisfaction response. No history of bedridden, hospitalization, or malignancy. He worked as a palm oil farmer in Geragas Village, langkat District, North Sumatera, Indonesia, an endemic region of Bancroftian filariasis. Physical examination revealed normal vital signs, there was non pitting oedema and redness in right gastrocnemius region (Figure 1). Laboratory results of routine blood count and haemostasis were within normal limit, except leucocytosis (12000/m3) and eosinophilia (15%). Peripheral blood sample was drawn between 10 pm and 2 am and showed positive microfilariae with gently curved body, a tail that is tapered to a point, and the nuclear column is loosely packed, appropriate for Wuchereria bancrofti (Figure 2).
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institution Kabale University
issn 0125-9326
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language English
publishDate 2014-01-01
publisher Interna Publishing
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series Acta Medica Indonesiana
spelling doaj-art-e66da6ee25d645cda48cc08ebe1decb42025-08-20T03:55:48ZengInterna PublishingActa Medica Indonesiana0125-93262338-27322014-01-01461Unilateral Leg SwellingUmar Zein0Hadiki Habib1Dr. Umar Zein Tropical and Infectious Diseases Clinic, Medan, IndonesiaDepartement of Internal Medicine, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia A 50-year old man was consulted due to right leg swelling concomitant with redness and pain since two months between admission. The patient experienced fever and dull pain in right inguinal region before the leg became swollen. Antibiotic and antipyretic had been given but gave unsatisfaction response. No history of bedridden, hospitalization, or malignancy. He worked as a palm oil farmer in Geragas Village, langkat District, North Sumatera, Indonesia, an endemic region of Bancroftian filariasis. Physical examination revealed normal vital signs, there was non pitting oedema and redness in right gastrocnemius region (Figure 1). Laboratory results of routine blood count and haemostasis were within normal limit, except leucocytosis (12000/m3) and eosinophilia (15%). Peripheral blood sample was drawn between 10 pm and 2 am and showed positive microfilariae with gently curved body, a tail that is tapered to a point, and the nuclear column is loosely packed, appropriate for Wuchereria bancrofti (Figure 2). https://mail.actamedindones.org/index.php/ijim/article/view/69
spellingShingle Umar Zein
Hadiki Habib
Unilateral Leg Swelling
Acta Medica Indonesiana
title Unilateral Leg Swelling
title_full Unilateral Leg Swelling
title_fullStr Unilateral Leg Swelling
title_full_unstemmed Unilateral Leg Swelling
title_short Unilateral Leg Swelling
title_sort unilateral leg swelling
url https://mail.actamedindones.org/index.php/ijim/article/view/69
work_keys_str_mv AT umarzein unilaterallegswelling
AT hadikihabib unilaterallegswelling