Cutaneous leishmaniasis: a case report

Kayastha, Bmm; Shrestha, Purna Devi; Shrestha, Rajendra; Jahan, R

doi:10.3126/njdvl.v8i1.5715

Cited by 2 publications

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“…Although some studies have hinted at a possible zoonotic transmission route of L. donovani [43] , [44] , [45] , we considered kala-azar as a purely anthroponotic parasitic disease, and excluded it from the current study. In addition to AVL, however, several reports have presented cases of cutaneous leishmaniosis [46] , [47] , [48] , [49] , [50] , [51] . Although most of these cases have been imported, mostly from the Middle East, one report mentions a case of cutaneous leishmaniosis caused by Leishmania major in a woman not known to have lived outside Nepal [52] , [53] , [54] .…”

Section: Resultsmentioning

confidence: 99%

The Burden of Parasitic Zoonoses in Nepal: A Systematic Review

et al. 2014

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BackgroundParasitic zoonoses (PZs) pose a significant but often neglected threat to public health, especially in developing countries. In order to obtain a better understanding of their health impact, summary measures of population health may be calculated, such as the Disability-Adjusted Life Year (DALY). However, the data required to calculate such measures are often not readily available for these diseases, which may lead to a vicious circle of under-recognition and under-funding.MethodologyWe examined the burden of PZs in Nepal through a systematic review of online and offline data sources. PZs were classified qualitatively according to endemicity, and where possible a quantitative burden assessment was conducted in terms of the annual number of incident cases, deaths and DALYs.Principal FindingsBetween 2000 and 2012, the highest annual burden was imposed by neurocysticercosis and congenital toxoplasmosis (14,268 DALYs [95% Credibility Interval (CrI): 5450–27,694] and 9255 DALYs [95% CrI: 6135–13,292], respectively), followed by cystic echinococcosis (251 DALYs [95% CrI: 105–458]). Nepal is probably endemic for trichinellosis, toxocarosis, diphyllobothriosis, foodborne trematodosis, taeniosis, and zoonotic intestinal helminthic and protozoal infections, but insufficient data were available to quantify their health impact. Sporadic cases of alveolar echinococcosis, angiostrongylosis, capillariosis, dirofilariosis, gnathostomosis, sparganosis and cutaneous leishmaniosis may occur.Conclusions/SignificanceIn settings with limited surveillance capacity, it is possible to quantify the health impact of PZs and other neglected diseases, thereby interrupting the vicious circle of neglect. In Nepal, we found that several PZs are endemic and are imposing a significant burden to public health, higher than that of malaria, and comparable to that of HIV/AIDS. However, several critical data gaps remain. Enhanced surveillance for the endemic PZs identified in this study would enable additional burden estimates, and a more complete picture of the impact of these diseases.

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Section: Resultsmentioning

confidence: 99%

The Burden of Parasitic Zoonoses in Nepal: A Systematic Review

et al. 2014

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“…Only few cases have been reported from Nepal. [3][4][5][6][7] It is a parasi c disease transmi ed by sandfl y infected with the protozoa Leishmania. Cutaneous leishmaniasis occurs at the site of inocula on.…”

Section: Introductionmentioning

confidence: 99%

Cutaneous Leishmaniasis: A Neglected Vector Borne Tropical Disease in Midwestern Region of Nepal

Ghimire

Shrestha

Pandey

et al. 2018

Nepal J Dermatol Venereol & Leprol

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Introduction: Cutaneous Leishmaniasis is a vector borne disease caused by the bite of an infected sandfly. The disease is rare in Nepal with only few cases reported till date. We report the largest collection of patients over six years.Objective: To describe the clinical, epidemiological and pathological aspect of Cutaneous Leishmaniasis in Midwestern region of Nepal Materials and Methods: Thirty-three patients referred to the department of Pathology for fine needle aspiration were diagnosed as Cutaneous leishmaniasis based on detection of Leishmania donovani in the fine needle aspiration smears. Demographic data and clinical details including site, size, and duration of disease onset were recorded on a printed proforma. Statistical analysis was done using SPSS version 16.0 for windows. Results:A total of 33 patients with age ranging from 11 years to 65 years were included in the study. Mean age was 26.5±11.5 years. Most patients were in the age group 21-40 years. Male: Female ratio was 1.7:1. Mean duration of disease was 5.3±4.4 months. Thirty patients had single lesion. Lesions were either of plaque type (84.9 %) or papulonodular type (15.1%). Conclusion:Cutaneous leishmaniasis is uncommon in Nepal. So, it is often neglected. It is in an increasing trend. Cutaneous leishmaniasis should be included in the differential diagnosis of a non-healing ulcer.

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Cutaneous leishmaniasis: a case report

Cited by 2 publications

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The Burden of Parasitic Zoonoses in Nepal: A Systematic Review

The Burden of Parasitic Zoonoses in Nepal: A Systematic Review

Cutaneous Leishmaniasis: A Neglected Vector Borne Tropical Disease in Midwestern Region of Nepal

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