CLINICAL VARIETIES 281 



SYMPTOMATOLOGY. 



A shivering lit, temperature 101° to i04°F., vomiting, headache, 

 red oedema of skin which is sometimes painful, the vessels are like a 

 red line under the skin. The temperature falls in two days accompanied 

 by an erysipelatous eruption which may last several days longer. The 

 lymphatic vessels return to their normal condition, rarely they are left 

 as a hard cord with the adult tilaria in the lumen. 



TREATMENT. 



Rest in bed, mild purge, aspirin for the headache, lead and opium 

 lotion locally, later ichthyol and lanolin ointment. 

 Evacuate the abscess when necessary. 



(2) FILARIAL ORCHITIS AND HYDROCELE. 

 SYMPTOMATOLOGY. 



Pain in the testes, fever, pains in the back, lower abdomen and 

 groins. 



There is often bilious vomiting. The testicle enlarges, is tender and 

 painful, effusion into the tunica vaginalis of lymph o>r chyle. 



This effusion mav become coagulated and persist, or it may form a 

 filarial h3^drocele which may be absorbed or require tapping. 



TREATMENT. 



Rest in bed, saline purges, lead and opium lotion. 



(3) FILARIAL LYMPHANGIECTASIS. 

 DEFINITION. 



A dilatation of the lymphatic vessels from obstruction due to Filaria 

 bancrofti. 



SYMPTOMATOLOGY. 



It can occur anywhere but it is commonly found in the scrotum, 

 spermatic cord and extremities. 



When it occurs in the scrotum there is fever, redness, swelling, 

 pain. After the fever is over the scrotum may remain swollen and 

 elastic. It may be smooth or rugose, or it may show vesicles which on 

 rupturing show lymph or clnle with filarial embryos or very rarely 

 eggs. The discharge of l^mph ma}' be so much in twenty-four hours 

 as to cause marked exhaustion, the condition requiring operation. 



An attack usually ends in diaphoresis. 



When it occurs in the spermatic cord there is pain, swelling in the 

 testes, cord and lower abdomen. Fever is less frequent than in the 

 above cases. Later a swelling may appear along the cord which dis- 



