Wednesday, October 5, 2011

TROPICAL DISEASE 15


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 Assam, Bihar,West Bengal, Nepal and Sikkim.

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.

Any questions be sent to drmmkapur@gmail.com

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