A population of about 16010 in filariasis endemic area for around Anji PHC, was surveyed with the help of staff of the National Filariasis Control Programme, Wardha and Community Medicine Department Mahatama Gandhi Institute of Medical Sciences, Wardha. Night blood smear was positive for 731 cases. Thorough personal, family and clinical history and examination was done and out of these 160 cases were having Orthopaedic or surgical manifestation. The patients were classified in 3 groups. Group A - Orthopaedic manifestations of non-filarial etiology. (No signs and symptoms suggestive of filariasis) - 102 could be followed. Group B - Orthopaedic manifestation of probably filarial etiology - 21 could be followed. Group C - Orthopaedic + Surgical manifestation (filarial cases). Serological investigations showed 148 were positive for filarial anti- body. 20 had eosinophilia, 8 were positive for ASO, 4 for CRP, 11 for RA factor and all were negative for sickling, 135 were found to be sterile after culture, 63 patients showed radiological changes. In Group A & B: 57 & 13 patients were treated with either Aspirin, DEC or Aspirin + DEC for 6 months, 79% showed good response to Aspirin + DEC, 58% for Aspirin, 48% to DEC. In group C in 22 patients - synovial biopsy showed non-specific synovitis, 6 were positive for filarial antibody, 2 for RA factor and with chemotherapy none showed response none that patients presenting with orthopaedic manifestations in the area endemic for filariasis test for filariasis should be done for better management of patients. Re-ELISA was negative in 12% in group A, 20% in group B, and none in group C. Hence it is suggested that different orthopaedic manifestations in endemic area based in immunodiagnosis may be helpful for better management by appropriate treatment.
2007-01-15 06:00:26
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answer #1
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answered by P Praveen Kumar 5
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Triglyceride levels should not be elevated by filariasis. They can be decreased by one form of filarial infestation.
2007-01-15 06:33:10
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answer #2
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answered by TweetyBird 7
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Not much data on this specifically, but then again, depends what type of filariasis (e.g. due to W. bancrofti, B. malayii, Ochocerca); also, 'normal' forms or hyperreactive.
Below is are couple of links you may find interesting.
Hope this helps.
2007-01-15 07:44:35
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answer #3
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answered by Blah? 4
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