Neglected Elephantiasis in Rural Bihar: A Clinical Encounter from Community Health Practice
Abstract: Lymphatic filariasis continues to affect many people living in rural and underserved areas of Bihar. While the infection itself can often be prevented and treated, patients who develop chronic lymphoedema may continue to suffer for many years because of delayed presentation, recurrent infections, lack of awareness, and limited access to appropriate care. I encountered a 50-year-old male farmer from rural Madhubani with longstanding swelling of both lower limbs. He had been living with the problem for nearly 10-12 years. What had initially been intermittent swelling had gradually progressed to persistent enlargement, thickening of the skin, recurrent episodes of infection, foul-smelling discharge, and difficulty in walking and working. The patient had not regularly participated in mass drug administration activities and had mainly sought treatment from local healthcare providers. Examination showed advanced chronic lymphoedema involving both lower limbs, with marked skin thickening, hyperpigmentation, verrucous changes, and involvement of the feet and toes. Peripheral smear did not demonstrate microfilariae. The case reminded me that chronic filarial disease is not simply an infectious disease problem. Once lymphatic damage becomes established, patients need continued care, education, skin and limb hygiene, prevention of recurrent infection, and regular follow-up. Working at CHC Babubarhi has further reinforced the importance of recognizing such neglected conditions at the primary healthcare level.
Keywords: Lymphatic filariasis, Elephantiasis, Lymphoedema, Rural Bihar, Madhubani, Primary healthcare, Morbidity management
How to Cite?: Dr. Vaibhav Karna, Dr. Vaibhav Karna, "Neglected Elephantiasis in Rural Bihar: A Clinical Encounter from Community Health Practice", Volume 15 Issue 9, September 2026, International Journal of Science and Research (IJSR), Pages: 1817-1819, https://www.ijsr.net/getabstract.php?paperid=SR26927123625, DOI: https://dx.doi.org/10.21275/SR26927123625