Sunday, September 28, 2014

Symptoms, Treatment, and Prognosis

The first symptoms that appear after acquiring elephantiasis are similar to flu symptoms (fever, headaches, chills, sweating, vomiting), along with pain and minor swelling of groin area and lymph nodes. When elephantiasis is left untreated it leads to lymphedema (blockage of lymph vessels) which causes major swelling to lymph vessels, hydrocele (build up of fluid in saclike areas) in scrotum, and thickening of skin and tissues will also occur. The swelling and thickening starts in the lower body around the ankles, and will eventually move up the body forming large masses.

Before and after pictures for thickened tissue removal.
Diethylcarbamazine (DEC) is an oral tablet that is used treat elephantiasis by killing the parasitic worm and it can also reduce the size of lymph vessels with long term use. Two milligrams of DEC is taken three times a day, for three weeks. Several courses of DEC may be needed if the parasitic worms are not killed by the end of the three week treatment. Surgery can be preformed to remove the dead worms and excess thickened tissue; and drainage of swollen areas can be done.

Prognosis is good for early and mild cases of elephantiasis that are treated with DEC drug, and poor for later cases with high quanities of infestation of the parasitic worms.






http://medical-dictionary.thefreedictionary.com/Elephantitis
National Lymphedema Network. http:// www.hooked.net
http://www.eplasty.com/index.php?option=com_content&id=1078&catid=15&Itemid=116(Picture)

5 comments:

  1. It is amazing that a simple parasitic worm could cause the outward appearance of the human body to change so much. It is nice to know that this parasite can be killed with a medication, and that surgery can be preformed after the worms are killed to help the body look normal again.

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  2. Is it ever too late to cure the problem? You would think once the body part/s started to enlarge diagnosis and treatment options would begin before they get to be incapable of moving they are so large.

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    Replies
    1. The longer a person goes without treating the problem the harder it is to kill all the parasitic worms, and treatment can go on for years. Only surgery can be performed to get the body parts to look normal again.

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