Question Details

This does not accurately describe Lymphatic filariasis

Options

A

mainly affects the lower limb

B

Chyluria is the most common manifestation

C

intermediate vector is the mollusc

D

is caused by the parasitic worms Wuchereria bancrofti and Brugia malayi

Correct Answer :

intermediate vector is the mollusc

Solution :

The correct option is "intermediate vector is the mollusc".

Lymphatic filariasis, commonly known as elephantiasis, is a painful and profoundly disfiguring disease caused by infection with filamentous parasitic roundworms (nematodes) belonging to the family Filarioidea.
Let us break down the statements to understand why the option regarding the mollusc vector is incorrect (and thus the correct answer to the question):

1. Vector Transmission:
The key inaccuracy lies in the transmission vector. The intermediate vectors responsible for transmitting the parasitic larvae of lymphatic filariasis to humans are mosquitoes (specifically species belonging to the genera Culex, Anopheles, Mansonia, and Aedes), not molluscs. Molluscs (like snails) serve as intermediate hosts for other parasitic infections such as schistosomiasis (bilharzia), but play no role in the transmission of lymphatic filariasis.

2. Parasitic Agents:
The disease is indeed caused by the microscopic, thread-like parasitic worms Wuchereria bancrofti (responsible for about 90% of cases) and Brugia malayi (along with Brugia timori). These parasites lodge in the lymphatic system.

3. Clinical Manifestations:
The infection predominantly affects the lymphatic vessels of the lower limbs, leading to severe lymphedema and elephantiasis (thickening of the skin and underlying tissues).
Additionally, chyluria (the presence of lymph/chyle in the urine, giving it a milky appearance) is a well-recognized and common clinical manifestation resulting from the rupture of obstructed lymphatic vessels into the urinary tract.

Consequently, the statement that the "intermediate vector is the mollusc" is incorrect, making it the correct choice for this question.

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