Clinico-Epidemiological Patterns of Cutaneous Leishmaniasis Patients Attending the Anuradhapura Teaching Hospital, Sri Lanka

Lahiru Sandaruwan Galgamuwa; Buthsiri Sumanasena; Lalani Yatawara; Susiji Wickramasinghe; Devika Iddawela

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저자정보: Lahiru Sandaruwan Galgamuwa (General Sir John Kotelawala Defence University) Buthsiri Sumanasena (Teaching Hospital) Lalani Yatawara (University of Peradeniya) Susiji Wickramasinghe (University of Peradeniya) Devika Iddawela (University of Peradeniya)

저널정보: 대한기생충학열대의학회 Parasites, Hosts and Diseases The Korean Journal of Parasitology Vol.55 No.1

발행연도: 2017.2

수록면: 1 - 7 (7page)

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Cutaneous leishmaniasis (CL) caused by Leishmania donovani is an endemic vector-borne disease in Sri Lanka. Over 2,500 cases have been reported since 2000 and the number of CL cases has dramatically increased annually. Total 57 clinically suspected CL patients attending the dermatology clinic in Anuradhapura Teaching Hospital were recruited from January to June 2015. Slit skin smears and skin biopsies were taken from each of the subjects. Clinical and epidemiological data were obtained using interviewer administered questionnaire. Forty-three (75.4%) patients among 57 were confirmed positive for L. donovani. The majority of infected patients was males (P=0.005), and the most affected age group was 21-40 years. Soldiers in security forces, farmers, and housewives were identified as high risk groups. The presence of scrub jungles around the residence or places of occupation (P=0.003), the presence of sandflies (P=0.021), and working outsides more than 6 hr per day (P=0.001) were significantly associated with CL. The number of lesions ranged from 1-3, and the majority (76%) of the patients had a single lesion. Upper and lower extremities were the prominent places of lesions, while the wet type of lesions were more prevalent in females (P=0.022). A nodular-ulcerative type lesion was common in both sexes. The presence of sandflies, scrub jungles, and outdoor activities contributed to spread of Leishmania parasites in an endemic pattern. Implementation of vector control programs together with health education with regard to transmission and prevention of CL are necessary to control the spread of this infection.

#Leishmania donovani #cutaneous leishmaniasis #clinico-epidemiological pattern #Sri Lanka

참고문헌 (33)

참고문헌 신청

[학술지(정기간행물)] - Karunaweera ND / 2003 / Sri Lankan cutaneous leishmaniasis is caused by Leishmania donovani zymodeme MON-37 / Trans R Soc Trop Med Hyg 97 : 308 ~ 381

[학술지(정기간행물)] - Reithinger R / 2007 / Cutaneous leishmaniasis / Lancet Infect Dis 7 : 581 ~ 596

[학술지(정기간행물)] - Goto H / 2010 / Current diagnosis and treatment of cutaneous and mucocutaneous leishmaniasis / Expert Rev Anti Infect Ther 8 : 419 ~ 433

[학술지(정기간행물)] - Ferro C / 2011 / Phlebotomine vector ecology in the domestic transmission of American cutaneous leishmaniasis in Chaparral, Colombia / Am J Trop Med Hyg 85 : 847 ~ 856

[인터넷자원] - WHO / / Leishmaniasis

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