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[Filariasis].
[dracunculiasis]
Filariasis
are
vector-transmitted
parasitoses
,
exclusively
tropical
,
except
for
dirofilariosis
.
Their
impact
differs
according
to
the
type
of
filaria
and
the
induced
immune
response
.
The
diagnosis
is
made
based
on
the
presence
of
dermatological
or
lymphatic
manifestations
,
acute
or
chronic
,
associated
with
usually
extended
stays
in
an
endemic
country
.
It
can
also
be
established
following
a
laboratory
examination
revealing
hypereosinophilia
or
correspond
to
the
incidental
finding
of
microfilariae
(
blood
or
skin
)
.
The
visualization
of
the
embryonic
and
/
or
adult
parasite
confirms
the
infection
.
For
pathogenic
filariasis
with
microfilaremiae
,
paradoxically
,
clinically
positive
subjects
are
often
amicrofilaremic
.
In
this
case
,
the
presence
of
antibodies
and
/
or
specific
serum
antigens
confirms
the
diagnosis
.
On
the
contrary
,
asymptomatic
microfilariaecarriers
are
common
but
there
is
no
guarantee
that
they
will
remain
asymptomatic
.
The
etiological
treatment
of
choice
is
based
on
a
combination
of
ivermectin
and
albendazole
.
However
,
diethylcarbamazine
,
which
was
formerly
used
,
is
still
indicated
.
Dracunculiasis
has
been
almost
eradicated
and
the
elimination
of
lymphatic
filariasis
and
onchocerciasis
as
public
health
problems
can
be
contemplated
in
the
medium
term
.
Diseases
Validation
Diseases presenting
"clinically positive subjects"
symptom
dracunculiasis
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