Genital filariasis presenting as a vaginal wall cystic lesion

We present vaginal cystic lesion which posed diagnostic dilemma and was confirmed on cytology to being filarial in etiology. The patient was treated with single-dose of oral diethylcarbamazine and the lesion subsided on follow up scans at three months thus avoiding inadvertent surgeries.Vaginal cystic lesions are rare entities and have multiple etiologies. A high degree of suspicion for filariasis as cause of vaginal cystic lesions should be made in individuals hailing from or have history of travel to endemic regions of filariasis.
Source: IDCases - Category: Infectious Diseases Source Type: research