 Clinical Manifestations

o Signs & Symptoms

 Edema in Children
 Groin Mass

 Bilateral ankle swelling
 Bilateral leg edema/swelling
 Bilateral severe leg edema
 Bilateral thigh edema

 Groin lesion
 Inguinal lesions
 Pachyderma
 Pruritis Itching
 Subcutaneous swelling migrates

 Enlarged testis/testes
 Scrotal edema/swelling
 Scrotal mass
 Swelling of scrotum
 Testicles enlarged/bilateral

 Abdominal Pain
 Peritoneal/abdominal signs

 Diagnostic Test Results

o Pathology
 PATH/Tissue larva/finding
 PATH/Tissue roundworms
o X-RAY
 Xray/Chest abnormal

 Xray/Calcification in scrotum

 Xray/Calcified lymph nodes

 Xray/Chest/Lung fields/Abnormal
 Xray/Miliary nodule pattern/Chest
 Xray/Pulmonary infiltrate eosinophilia (PIE/Loeffler's syndrome)
 Treatment
o Drug Therapy - Indication
 RX/Diethylcarbamazine (Hetrazan)
 RX/Flubendazole (Veterinary drug/not FDA)
 RX/Ivermectin (Mectizan)
 RX/Mebendazole (Vermox)