Lymphatic filariasis is a disease caused by parasitic roundworms that are transmitted via mosquito bites and affects over 40 million people worldwide. The parasites block the lymphatic system, causing swelling in the limbs and genitals. Common symptoms include swelling, pain, and thickening of the skin. Treatment involves medication to kill the parasites and wound/skin care to prevent infection. Complications can include serious skin infections or rare soft tissue cancers if left untreated.
Lymphatic filariasis is a disease caused by parasitic roundworms that are transmitted via mosquito bites and affects over 40 million people worldwide. The parasites block the lymphatic system, causing swelling in the limbs and genitals. Common symptoms include swelling, pain, and thickening of the skin. Treatment involves medication to kill the parasites and wound/skin care to prevent infection. Complications can include serious skin infections or rare soft tissue cancers if left untreated.
Lymphatic filariasis is a disease caused by parasitic roundworms that are transmitted via mosquito bites and affects over 40 million people worldwide. The parasites block the lymphatic system, causing swelling in the limbs and genitals. Common symptoms include swelling, pain, and thickening of the skin. Treatment involves medication to kill the parasites and wound/skin care to prevent infection. Complications can include serious skin infections or rare soft tissue cancers if left untreated.
Lymphatic filariasis is a disease caused by parasitic roundworms that are transmitted via mosquito bites and affects over 40 million people worldwide. The parasites block the lymphatic system, causing swelling in the limbs and genitals. Common symptoms include swelling, pain, and thickening of the skin. Treatment involves medication to kill the parasites and wound/skin care to prevent infection. Complications can include serious skin infections or rare soft tissue cancers if left untreated.
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Definition
• disease group caused by filariae that
affects humans and animals (ie, nematode parasites of the family Filariidae). • The World Health Organization (WHO) has identified lymphatic filariasis as a major cause of disability worldwide, with an estimated 40 million individuals affected by the disfiguring features of the disease Causative Agent 1. Wuchereria bancrofti 2. Brugia malayi 3. Brugia timori
* The larval form of the parasite transmits the disease to
humans by the bite of a mosquito. Pathophysiology Pathophysiology • The filarial life cycle, like that of all nematodes, consists of 5 developmental (larval) stages in a vertebral host and an arthropod intermediate host and vector. Adult female worms produce thousands of first-stage larvae, or microfilariae, which are ingested by a feeding insect vector. Some microfilariae have a unique daily circadian periodicity in the peripheral circulation. The arthropod vectors (mosquitoes and flies) also have a circadian rhythm in which they obtain blood meals. The highest concentration of microfilariae usually occurs when the local vector is feeding most actively. Signs and Symptoms Treatment A. Medical Treatment • Diethylcarbamazine (DEC) is the drug of choice in the United States. The drug kills the microfilariae and some of the adult worms. DEC has been used world- wide for more than 50 years.
• Side effects are in general limited and depend on the
number of microfilariae in the blood. The most common side effects are dizziness, nausea, fever, headache, or pain in muscles or joints. Treatment B. Nursing Intervention 1. Monitor client’s vital signs, particularly the temperature. 2. Assess skin color and integrity. Note for wounds, bleeding or any skin changes. 3. Assess for any discomfort and pain. 4. Provide wound care. 5. Elevate affected body area to reduce swelling. 6. Administer medications if ordered and discuss them to the client. 7. Provide support to perform basic activities. 8. Encourage range of motion and simple exercises of the affected extremities to stimulate lymphatic flow. 9. Recognize client’s self-esteem needs. 10. Provide health teaching and information for continuity of care. Complications Infections. Possible infections that can result from lymphedema include a serious bacterial infection of the skin (cellulitis) and an infection of the lymph vessels (lymphangitis). The smallest injury to your arm or leg can be an entry point for infection.
Lymphangiosarcoma. This rare form of
soft tissue cancer can result from the most-severe cases of untreated lymphedema. Possible signs of lymphangiosarcoma include blue-red or purple marks on the skin.