Microfilaria often reside in lymphatics of the genital region in a male with filariasis. These may trigger a number of reactions prior to the late sequelae such as elephantiasis.
Findings affecting the lymphatics in a male with filariasis:
(1) lymphangiectasia of lymphatics around the vas deferens
(2) hydrocele
(3) chylocele, with chyle leaking into a filarial hydrocele
(4) superficial lymphangiomatosis
(5) lymph scrotum with chyle oozing from superficial lymphatics
(6) lymphadenitis of inguinal lymph nodes
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