Co-infection of Wuchereria bancrofti and Escherichia coli in Semen: A Case Report of Male Secondary Infertility

Abstract

Wuchereria bancrofti is a neglected vector-borne parasitic worm that constitutes a serious public health problem in tropical countries. The parasite is under-recognized especially in endemic regions Nigeria inclusive. Very often, infected individuals are asymptomatic for a long period, making it very difficult to know. A 35-year-old male presented with secondary infertility with intermittent fever in Northwestern Nigeria. Semen microscopy, culture, and sensitivity was carried out. The semen microscopy showed the presence of Wuchereria bancrofti while Escherichia coli was isolated in the culture. A combined single doses of 400 mg/kg Albendazole and Ivermectin were used for the worm. Escherichia coli was sensitive to Ciprofloxacin 500 mg/kg. The fever resolved with normalization of semen. There is need for a baseline data to assess and evaluate the progress of mass drug administration in Nigeria towards eventual eradication of filariasis. In addition, awareness of the unusual presentation would also assist in the diagnosis and possible treatment of infertility.