Physician examination findings are important in diagnosis of subclinical disease when there is absence of laboratory evaluation with antigen assay testing or ultrasound assessment (Fox et al.,2005).
Witt and Ottesen(2001) reported hydroceles, lymphedema of the limbs,soft tissue masses, hernias, and epididymitis as other types of lymphatic morbidity.
The infection can lead to other complications if gone unchecked (Purnell, 2013).hese complications are related to an increased burden of disease, can include sclerotic and papillomatous skin changes in the extremities, chyluria that is milky white urine caused by a mixture of lymph with urine related to the rupture of lymphatics into the urinary system,ad tropical pulmonary eosinophilia presenting with a dry,paroxysmal cough, wheezing, and shortness of breath
(Rosenthal,2014;Wayangankar,2013).