Clinical epidemiology of acute transverse myelitis in Bangladesh: A prospective case control study

Abstract

ation, due to development of Tehri dam reservoir & migration of laborers from endemic areas. Also, possibility of upstream move of sandflies along the Ganges from endemic zone can't be excluded as has been suspected in our study. Conclusion:Clinicians of the non-endemic zone should suspect VL in patients with fever of unknown origin and have a high suspicion in cases of HLH and liver involvement and vice versa. Atypical manifestation like kidney involvement is seen in 1/3rd VL cases. The leishmaniasis prevalent in these areas should further subject to comparison with endemic parts and a large-scale study is needed to find the reason for the rising vector from the holy Himalayas.