A 48-year-old male patient was admitted with complaints of thickening of the skin and inflammation. His vital signs were monitored daily and lab tests revealed slightly elevated white blood cell count and blood sugar. The patient was diagnosed with elephantiasis caused by the Wuchereria Bancrofti parasite. Elephantiasis results from an obstruction of the lymphatic system causing fluid buildup and swelling of body tissues, most notably in the legs and genitals. The patient was prescribed a treatment plan including ivermectin, mebendazole, albendazole, ranitidine, ampicillin, and diclofenac sodium to address the infection and symptoms.

2. A 48 years old patient admitted
with the complaints of thickening of
skin and inflammation

3. • PATIENT NAME
• AGE
• SEX
• WEIGHT
• DEPT.
• DOA
• XXXXXXXX
• 48
• MALE
• 72
• ORTHOPEDIC
• 21/2/2014

4. PAST MEDICAL HISTORY :- NIL
PAST MEDICATION HISTORY :-NIL
SOCIAL HISTORY
ALCOHOL : NO
SMOKING: NO
MARITAL STATUS: MARRIED

5. VITAL SIGNS
DATE 7/11/2014 8/11/2014 9/11/2014 10/11/201
4
TEMP. 98 100 100 102
BP 110/80 110/70 110/80 110/70
PULSE 80 76 74 80
RESPIRATORY
RATE
20 20 20 20

6. • 74%
• 20%
• 6%
• 8%
• NEUTROPHILS
• LYMPHOCYTES
• ESINOPHILS
• MONOCYTES

7. • HEAMOGLOBIN
• WBC
• BLOOD SUGAR
• CREATININE
• 72%
• 6200
• 150mg/dl
• 1.0mg/dl

8. • The finger prick test draws blood from the
capillaries of the finger tip; larger veins can be used
for blood extraction

9. • Examples are W. bancrofti, whose vector is a
mosquito; night is the preferred time for blood
collection

10. ASSESMENT

11. DIAGNOSIS

12. AETILOGY
• The rapid and unplanned growth of cities, and the mosquito
breeding grounds they can develop, may be a primary cause
of the Elephantiasis that the parasitic filarial worms
Wuchereria Bancrofti and Brugia Malayi, that live up to six
years almost exclusively in the lymphatic system of humans,
may create.

13. PATHOPHYSIOLOGY
• Elephantiasis is caused by WUCHERERIA BANCROFTI
(it is a human parasite roundworm that is the major
cause of lymphatic filariasis )
• Elephantiasis is the result of an obstruction or
blockage of the lymphatic system and possibly of
blood circulation
• This obstruction causes fluid to collect on the
tissues of the body, which can lead to great swelling
called lymphoedema

14. •Limb can become so massive that they
resemble an elephant foreleg in size, texture
and colour

16. • Life cycle carrys out in two stages
• Human beings as definitive host
• Mosquito as intermediatte host
• The first stage larvae, known as microfilaria are
present in circulation
• Microfilaria is present in peripheral blood and can
be found to be peak in between 10pm to 2am.
• During the day they present in veins and during
night they migrate into peripheral circulation.
• Microfilaria is converted to vecor and continue the
life cycle

17. • Elephentiasis is a disease that is notable for the
thickening of the skin and underlying tissues,
especially in the legs and male genitals

18. •Sometimes, the disease can cause certain body
parts , such as the scrotum, to swell to the size
of a basketball
• More rarely, it can cause swelling in the vulva
it is caused by filariasis or podoconiosis.

19. S. NO DRUG GENERIC NAME CLASS OF DRUG DOSE
1) STROMECTOL IVERMECTIN ANTHELMINTICS 150-250mg
2) VERMOX MEBENDAZOOLE ANTHELMINTICS 100mg
3) ALBENZA ALBENDAZOLE ANTHELMINTICS 400mg

20. PLAN
S. NO DRUG GENERIC NAME DOSE FREQUENCY DATE
:7/11/2014 :8/11/2014
1) STROMECTOL IVERMECTIN 150mg BD + +
2) RANTAC
( ANTACID)
RANITIDINE 50mg BD + +
3) AMPICILLIN
(ANTIBIOTIC)
AMPICILLIN 500mg BD + +
4) VOVERON
(PAIN KILLER)
DICLOFENAC
SODIUM
25mg BD + +