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Elephantiasis

This disease is chronic (chronic) and if not treated, can cause permanent disabilities such as enlargement of the legs, arms and genitals both women and men. Elephant Leg Disease is not a deadly disease, however, for patients may be something that feels shameful even can interfere with daily activities.
Elephant Leg Disease commonly found in many tropical regions. According to information from WHO, the order states that there are patients experiencing disease elephantiasis is South Asia (India and Bangladesh), Africa, the Pacific and the Americas. Later, many states also occur in Thailand and Indonesia (Southeast Asia).

# Transmission Elephant Leg Disease

The disease is transmitted by mosquitoes which suck the blood of someone who had contracted earlier. Infected blood and contain larvae and would be transmitted to another person when an infected mosquito bite or suck the blood of that person.

Unlike malaria and dengue fever, filariasis can be transmitted by 23 species of mosquitoes of the genus Anopheles, Culex, Mansonia, Aedes & Armigeres. Because of this, filariasis can spread very quickly.

# Signs and Symptoms of Elephant Leg Disease

A person infected with elephantiasis disease usually occurs in childhood, where in a long time (many years) began to be felt development.

Acute symptoms that can occur include:

* Fever over and over for 3-5 days, fever may be lost if the break and came back after working hard

* Swollen lymph nodes (without any cuts) areas thigh folds, armpits (lymphadenitis), which are reddish, hot and painful

* Inflammation of lymph channels that feels hot and the pain that spreads from the base of the foot or base of the arm towards the end (retrograde lymphangitis)

* Filarial abscesses often suffer due to swollen lymph nodes, it can burst and release pus and blood

* Enlarging the legs, arms, breasts, testicles that look a little flushed and feels hot (early lymphodema)


While the symptoms of chronic diseases such as elephantiasis, is a permanent enlargement (elephantiasis) of the legs, arms, breasts, testicles (elephantiasis skroti).

# Elephant Leg Disease Diagnostic Examination

Elephantiasis disease is generally detected through microscopic examination of blood, Till this moment it is still considered difficult because of microfilaria just come and present themselves in the blood at night for several hours (nocturnal periodicity).

In addition, various method of examination was also performed to diagnose the disease elephantiasis. Among them is the system known as membrane Penjaringan, Knott concentration method and the deposition technique.

Inspection method which is closer towards the diagnosis and recognized by the WHO is a road inspection system "test card" This is very simple and sensitive for detecting the spread of the parasite (larvae). That is by taking a finger prick blood sample droplets diwaktu system anytime, not necessarily at night.

# Handling and Treatment Elephant Leg Disease

The main goal in early treatment of patients with elephantiasis, the disease is to eradicate parasites or larvae that developed in the patient's body, so the rate of transmission can be suppressed and reduced.

Dietilkarbamasin (diethylcarbamazine (DEC)) is the only potent drugs for filariasis bancrofti or malayi filariasis, is makrofilarisidal and mikrofilarisidal. These drugs are relatively cheap, safe and no drug resistance. Patients who received this drug therapy may provide local and systemic side reactions are temporary and easily resolved with symptomatic medication.

Dietilkarbamasin not be used for khemoprofilaksis. Treatment is given orally after dinner, quickly absorbed, reaching peak concentration in blood in three hours, and excreted through urine. Dietilkarbamasin diberikanpada no children younger than 2 years, pregnant / lactating, and patients with severe pain or
in a position of weakness.

However, in cases of elephantiasis disease severe enough (already enlarged) because it is not detected early, in addition to giving drugs would require further steps such as surgery.

# Elephant Leg Disease Prevention

For patients with disease awareness elephant expected to check their medicine and get medical treatment so as not to disseminate obtan transmission to other communities. For this reason there should be education and the introduction of diseases to patients and residents nearby.

Eradication of mosquitoes each region is very important to break the disease transmission chain. Maintain environmental hygiene is of paramount importance to prevent the development of mosquitoes that area.
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