A CASE OF WUCHERERIASIS ON THE SPERMATIC CORD

概要

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As taken up in the preface the diagnosis of Wuchereriasis on the spermatic cord is easy to make when chyluria or elephantiasis appear simultaneously, or the occurrence of the characteristic fever access in the past and the presence of microfilaria in blood can be confirmed. But when we touch only an induration in the scrotum the differentiation of it from tuberculosis of the spermatic cord, varicocele, tumor of the spermatic cord, etc. Is very difficult and diagnosis should be made with caution. As for the genetic mechanism of the ailment concerned, as Shida and Fukuda, Nakamura and Ichimura have indicated, the Filaria bancro fti penetrates into the lymph vessel of spermatic cord and brings about a lymphatic circulatory disturbance with a mechanical lesion caused by worms, which results in the cystic dilatation of the local lymph vessel. As long as the lesion cannot be removed at the stadium, the canal dilatation seems to develop into a hypertrophy of the wall until inflammatory regressive degeneration is brought about.
久留米大学医学部 The Kurume Medical Journal 編集部の論文