{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T14:25:40Z","timestamp":1764253540348,"version":"3.46.0"},"reference-count":8,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2023,10,20]],"date-time":"2023-10-20T00:00:00Z","timestamp":1697760000000},"content-version":"vor","delay-in-days":19,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Key Clinical Message<\/jats:title>\n                  <jats:p>Skin ulcerations are a significant cause of morbidity and can be challenging to manage. Among the various causes of chronic non\u2010healing ulcers, lymphedema is also considered a possible diagnosis in countries such as Nepal. Lymphatic filariasis has been a significant public health issue in endemic areas. Wuchereria bancrofti is a common nematode parasite that causes lymphatic filariasis. Excessive retention of lymphatic fluid in the interstitial compartment can cause localized tissue swelling, known as lymphedema, which is caused by impaired lymphatic drainage. Microfilariae can be detected in peripheral blood, body fluids, and needle aspirates. Microfilaria is not commonly found in ulcers on elephantiasis legs. We discuss here a case of 73\u2010year\u2010old women with elephantiasis legs with pus discharging ulcers in the thighs. Microscopic examination of pus discharge revealed microfilaria which highlights the importance of pus examination as diagnostic modality in endemic countries.<\/jats:p>","DOI":"10.1002\/ccr3.8102","type":"journal-article","created":{"date-parts":[[2023,10,21]],"date-time":"2023-10-21T00:08:16Z","timestamp":1697846896000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A case report on rare finding of microfilaria in pus sample of an ulcer over elephantiasis leg"],"prefix":"10.1002","volume":"11","author":[{"given":"Manoj","family":"Adhikary","sequence":"first","affiliation":[{"name":"Department of Dermatology Bakulahar Ratnanagar Hospital  Chitwan Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-9263-5989","authenticated-orcid":false,"given":"Kshitiz","family":"Pandey","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Bakulahar Ratnanagar Hospital  Chitwan Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sadikchya","family":"Lamichhane","sequence":"additional","affiliation":[{"name":"Department of Dermatology Bakulahar Ratnanagar Hospital  Chitwan Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pratik","family":"Pandey","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Bakulahar Ratnanagar Hospital  Chitwan Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,10,20]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.4103\/0970-0358.101291"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.3347\/kjp.2008.46.3.119"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00436-020-06991-y"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.suc.2010.08.006"},{"key":"e_1_2_11_6_1","unstructured":"KarH SinghG UrhekarAD. (n.d.)Microfilaria in pus sample of an ulcer over elephantiasis leg: an unusual case presentation.Ijcmas.com. Retrieved July 17 2023 fromhttps:\/\/www.ijcmas.com\/vol\u20102\u20107\/Harapriya%20Kar %20et%20al.pdf"},{"key":"e_1_2_11_7_1","unstructured":"CDC\u2010Centers for Disease Control & Prevention.CDC \u2013 lymphatic filariasis \u2013 resources for health professionals \u2013 guidance for evaluation and treatment.2010.https:\/\/www.cdc.gov\/parasites\/lymphaticfilariasis\/health_professionals\/dxtx.html"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.31275"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.20546\/ijcmas.2020.906.372"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.8102","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T14:22:54Z","timestamp":1764253374000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.8102"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10]]},"references-count":8,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2023,10]]}},"alternative-id":["10.1002\/ccr3.8102"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.8102","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"type":"print","value":"2050-0904"},{"type":"electronic","value":"2050-0904"}],"subject":[],"published":{"date-parts":[[2023,10]]},"assertion":[{"value":"2023-07-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-10-13","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-10-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e8102"}}