A Case of a 42-year-old Filipino Male with Bilateral Lower Extremity Swelling

Edgar Wilson G. Timbol, Geraldine Z. Racaza, Jacqueline Michelle G. De Las Alas,
Jose Eduardo DL. Duya and Agnes D. Mejia

Department of Medicine, College of Medicine and
Philippine General Hospital, University of the Philippines Manila

A 42-year-old male was admitted at the University of the Philippines-Philippine General Hospital (UP-PGH) for a 3-month history of non-healing wound in the medial side of his right leg in spite of multiple antibiotics. The wound worsened with multiple ulcerations and draining sinuses. The wound was shown to have suppurative and granulomatous infiltrates that yielded Mycrobacterium tuberculosis. An algorithm in the approach to a chronic or non-healing wound is discussed.

Key Words: lymphedema, tarda, edema, lower extremity, bilateral, filariasis