4.2 VISCERAL LEISHMANIASIS (KALA-AZAR)
The causitive organism is L Donovani also transmitted by a
sandfly.
The prasite is transported by lymphatic to lymph nodes
and viscera.
Some control of the disease has occured through DDT
and antimalaria programmes.
It still persists in
4.2.1 Clinical
In the early stage the patient suffers from intermittant fever
and anaemia.
In later stages there is hepatosplenomegaly.
Bone marrow smears slow L. Donovani.
The patients respond to pentavalant antimony therapy.
TREATMENT
The disorder can be treated with stibogluconate.
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