Clinico-epidemiological Trends of Cutaneous Leishmaniasis along the Satluj Valley of Himachal Pradesh-A new focus with emerging infection
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 7
Abstract
Background: Cutaneous leishmaniasis (CL) is an endemic disease in well defined regions across the globe. Bihar, Uttar Pradesh (UP) and deserts of Rajasthan are well known foci for CL in India. But recently, subalpine valley along the Satluj River has been identified as a new emerging focus for CL in Himachal Pradesh. Methods: All newly diagnosed cases of CL were registered and detailed clinico-epidemiological parameters were recorded. Imprint smears for LD bodies and biopsy for histopathology were done in atypical cases to confirm clinical diagnosis. Children less than 18 years, unconfirmed cases and those patients who lost on follow up examination were excluded out from this study. Results: Out of total 337 registered cases, 222 adults including 121 females and 101 males were enrolled for this study. Most of the cases were affected in the age group of 20-40 years. Face and neck were commonly affected sites in 64.41%. Psoriasiform plaques and nodules were most frequently observed clinical types in 41.44% and 40.09% cases respectively. Most (72%) of the cases had single lesion and duration of lesion ranged between 1-6 months in 81.98% cases. All cases were treated effectively with intralesional injection of sodium stibogluconate (I/L SSG). Most cases recovered completely after 2nd cycle of I/L SSG, only 2(0.9%) patients took 5 months for complete recovery. Immediate side effects like pain, swelling and bleeding were observed almost in every patient while post inflammatory hyper pigmentation, scarring and millia formation were observed as long term side effects. Conclusion: CL is still emerging and spreading along Satluj valley of Himachal Pradesh (HP). We recommend skillful diagnosis, availability of diagnostic tests, annual record keeping and reporting in this institute. So that exact disease burden can be identified to promote the effective treatment and preventive measures in coming future.
Authors and Affiliations
Dr Sandhya
Keywords
Related Articles
- EP ID EP526681
- DOI -
- Views 80
- Downloads 0
Gene Chips in Microbiology-its Various Diagnostic Applications
The laboratory introduction of in vitro nucleic acid amplification techniques, led by real-time PCR, into the clinical microbiology laboratory has transformed the laboratory detection of viruses and select bacterial path...
Esophagus Associated Lung Diseases- A Retrospective Study
Introduction: Structural diseases of oesophagus such as trache-oesophageal fistula, achalasia and esophageal diverticula are frequent causes of aspiration related respiratory morbidity. In this retrospective hospital dat...
The Added Diagnostic Value of Transvaginal Ultrasound to Transabdominal Ultrasound in Detection and Assessment of Placenta Previa
Aim: To evaluate the added diagnostic value of the transvaginal ultrasound (TVUS) to transabdominal ultrasound (TAUS) in the detection and evaluation of placenta praevia (PP). Methods: This study was carried out on 46 pr...
A Cross-sectional Study of Profile Serum Lipid levels in off-springs of Diabetic patients in a Tertiary Care Hospital in Central India
Aims & Objective: To compare various serum lipid parameteres in young healthy off-spring of diabetics (single or both parents) with offspring of non-diabetic parents. Material and Methods: A cross sectional study with 12...
Pattern of Lymphadenopathy on Fine Needle Aspiration Cytology- A Retrospective Study
Introduction: Lymph nodes are the most widely distributed collections of lymphoid tissue within the lymphoreticular system. FNA is a simple and rapid diagnostic technique. The value of FNA also lies in giving early direc...