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Testicular Swelling Due to Lymphatic Filariasis After Brief Travel to Haiti
After 6 months of a trip to Haiti, a 25-year-old healthy man presented with a 6-week history of a very slow progressive intermittent bilateral testicular pain and swelling. The biopsies in both testicles revealed the presence of a dead filarial parasite. Polymerase chain reaction products of the DNA from the biopsy were shown to have a 100% identity to Wuchereria bancrofti. Despite being uncommon in travelers, this presentation of W. bancrofti highlights the possibility of acquiring W. bancrofti during short-term trips to highly endemic regions of the world (i.e., Haiti).
Author Notes
Authors' addresses: Luis A. Marcos, Infectious Diseases, Hattiesburg Clinic, Hattiesburg, MS, E-mail: marcoslrz@yahoo.com. Nathan P. Shapley, Urology Clinic, Wesley Medical Center, Hattiesburg, MS, E-mail: nps@megagate.com. Mark Eberhard and LeAnne M. Fox, Division of Parasitic Diseases and Malaria, CDC, Atlanta, GA, E-mails: mle1@cdc.gov, meberhard@cdc.gov, and lff4@cdc.gov. Jonathan I. Epstein, Pathology Department, Johns Hopkins University, Baltimore, MD, E-mail: jepstein@jhmi.edu. Alan Magill, Malaria, Global Health Program, Bill and Melinda Gates Foundation, Seattle, WA, E-mail: Alan.Magill@gatesfoundation.org. Thomas B. Nutman, Laboratory of Parasitic Diseases, National Institutes of Health, Bethesda, MD, E-mail: tnutman@niaid.nih.gov.