The Health Implications Of The Manifestations Of Leishmaniasis Infection To Man

Funom Makama By Funom Makama, 1st Apr 2014 | Follow this author | RSS Feed
Posted in Wikinut>Health>General Health>Diseases & Infections

Infection by protozoa belonging to the genus leishmania gives rise to leishmaniasis. Leishmaniasis is not a single disease; rather it is a collection of diseases caused by several different collections of diseases caused by several different species of leishmania, each of which is capable of causing characteristic abnormalities

A General Clinical Overview Of Leishmaniasis

The pathogenic leishmania are:

1. Leishmania donovani causing kala-azar and post-kala azar dermal leishmaniasis:
2. L. tropica and L. major causing oriental sore; and
Several subspecies of L. braziliensis and L. Mexicana causing mucocutaneous leishmaniasis.

All these species are morphologically identical but show immunological differences. During its life cycle, the parasite exists in two forms: The amastigote form which is oval or rounded and non-motile )Leishma Donovan body- L.D body) which exists in the cytoplasm of reticulo-endothelial cells of man or animal reservois and the promastigote or flagellate form which is seen in the vector sandflies and in vitro cultures.

American Cutaneous And Mucocutaneous Leishmaniasis (Espundiasis)

Cutaneous and mucocutaneous leishmaniasis are prevalent in many countries of central and south America from Mexico to northern Argentina with the exception of Chile. The causative organisms are species of L. braxiliensis. The cutaneous lesion resembles oriental sore. In the mucocutaneous form (espundia) the initial ulcer is followed by direct extension or metastatic spread from a distant lesion to the mucosa of the nose and pharynx. If left untreated, destructive lesions develop which involved the mucosa and deeper tissues of the nose, pharynx, larynx and trachea. This may be complicated by the secondary infection which may prove fatal. The parasite can be demonstrated in the early cutanoeus and early mucosal lesion by examination of “slit-and-scrape” material. In late cases, histological examination of biopsy material is necessary.

In endemic areas, espundiasis has to be distinguished from syphilis, blastomycosis and leprosy. A cutaneous delayed hypersensitivity test, called leishmanin reaction (Montenegro test), is available for diagnosis. The antigen is introduced intradermally and the test is positive in almost all cases.

Treatment: Apart from local measures, systemic treatment with methyl glucamine antimoniate given in two courses of 15 injections each separated by an interval of one week is curative. In severe mucosal lesion, amphotericin B in combination with corticosteroids has been found to be effective.

Leishmaniasis Of The New World

Several locally occurring forms of mucocutaneous leishmaniasis have been described in jungle regions lying between latitudes 22 degree North and 30 degree South. Lesions resemble those of oriental sore histologivally. The organisms cause zoonoses among various species of rodents and are transmitted to man by sandflies. Leishmania Mexicana leads to ulceration of the pinna of the ear and other exposed parts and this is known as “chiclero’s ulcer”, seen in persons who go into forests to collect gum. The pinna may be destroyed over several years.

For more Health Articles, visit the following links:
1. Fitness And Exercise From A Doctor’s Perspective: Maintaining The Lifestyle
2. Special Types Of Anemia: Sideroblastic Anemias And Paroxysmal Nocturnal Hemoglobinuria (PNH)
3. Diphtheria: The Health Significance Of Its Clinical Diagnosis And Phases Of Treatment

Tags

Blastomycosis, Chicleros Ulcer, Cutaneous Delayed Hypersensitivity Test, Destructive Lesions, Kala-Azar Dermal Disease, Leishmania Donovani, Leishmania Mexicana, Leishmanin Reaction, Leprosy, Montenegro Test, Mucosa Of The Nose And Pharynx, Sandflies, Syphilis

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author avatar Funom Makama
A medical Practitioner and a passionate writer. A proud published Author of 2 books, more than 2,000 articles online and 500 Poems!
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Comments

author avatar writestuff
4th Apr 2014 (#)

Interesting and informative article. Thanks for this post.

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author avatar Fern Mc Costigan
5th Apr 2014 (#)

Interesting post!

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author avatar wonder
6th Apr 2014 (#)

At least there is a cure, life is hell at times.

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author avatar Donald Pennington
8th Apr 2014 (#)

Wow! Awesome work.

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author avatar Donald Pennington
8th Apr 2014 (#)

Shared!

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author avatar WOGIAM
12th Apr 2014 (#)

I have met a few individuals who live with this condition, I never knew there was a cure for it. Thanks for sharing

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author avatar Funom Makama
14th Apr 2014 (#)

Thank you so much colleagues.. I really do appreciate it.

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23rd Mar 2019 (#)


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اهم شركات نقل العفش والاثاث بالدمام والخبر والجبيل اولقطيف والاحساء والرياض وجدة ومكة المدينة المنورة والخرج والطائف وخميس مشيط وبجدة افضل شركة نقل عفش بجدة نعرضها مجموعة الفا لنقل العفش بمكة والخرج والقصيم والطائف وتبوك وخميس مشيط ونجران وجيزان وبريدة والمدينة المنورة وينبع افضل شركات نقل الاثاث بالجبيل والطائف وخميس مشيط وبريدة وعنيزو وابها ونجران المدينة وينبع تبوك والقصيم الخرج حفر الباطن والظهران

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author avatar شركة نقل عفش بمكة
23rd Mar 2019 (#)


http://jumperads.com/ نقل الاثاث
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author avatar شركة سكاي لنقل العفش
23rd Mar 2019 (#)



شركة سكاي لخدمات نقل العفش والاثاث بالمنطقة العربية السعودية نحن نوفر خدمات نقل اثاث بالرياض ونقل عفش بالمدينة المنورة ونقل عفش بمكة ونقل عفش بالطائف نحن نقدم افضل نقل اثاث بخميس مشيط ونقل عفش بجدة

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author avatar شركة نقل عفش بالمدينة المنو
23rd Mar 2019 (#)


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author avatar شركة كيان لنقل العفش
23rd Mar 2019 (#)



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author avatar شركة ريلاكس لنقل العفش والا
23rd Mar 2019 (#)



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author avatar شركة نقل عفش بالطائف
23rd Mar 2019 (#)


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