Genital presentation of filarial disease is not uncommon in endemic ar
eas of the world. Acute, febrile illness involving the epididymis and
spermatic cord (funiculoepididymitis) is one of many such presentation
s. With an internationally mobile society, physicians today, even in n
onendemic areas, may encounter patients with filarial infestations. We
report the first case of presumptive diagnosis of this disease using
scrotal ultrasound.