Epidemiological and Clinical Study of Visceral Leishmaniasis In Najaf and Karbala Governorate

Abdul Galil  Sahib H. Abdul-Kadi, Talib; Mohammed Hashim, Jasim

	Epidemiological and Clinical Study of Visceral Leishmaniasis In Najaf and Karbala Governorate
Kerbala Journal of Medicine
Article 3, Volume 1, Issue 1, 2007, Pages 124-130 PDF (0 K)
Authors
Talib Abdul Galil Sahib H. Abdul-Kadi; Jasim Mohammed Hashim
Abstract
A retrospective study conducted on (63) patients with V.L. admitted to both Al-Zahraa’ Maternity and Pediatrics Hospital (MPH) in Al-Najaf and Karbala’ Hospital for Children during the period from Jan. 2005 to Sep. 2006 to shade light on the epidemiological and clinical aspects of V.L. among children from both governorates. The number of male cases was 43 (68.2%), while female cases were 20 (31.7%), male to female ratio was (2.1:1). Most of cases were registered during winter and spring months. 39 (62%) of cases came from rural areas. The peak ages incidence were1 – 3 years (65%).The commonest presenting features were fever (100%), splenomegaly (93.6%), and pallor (87.3%). The consistent laboratory findings were anemia (87.3%) and leucopenia (58.7%). Bone marrow aspirate were positive in 40 (81.6%) from 49 aspirates taken and 14 (22.2%) patients were treated without bone marrow aspirate confirmation of the diagnosis All the patients received sodium stibogluconate (Pentostam)® 20 mg/kg/day for 4 weeks. The main complications reported were jaundice (9.5%), pneumonia (6.3%), and gastroenteritis (4.7%). Three relapses (4.7%) have been documented. No deaths were reported. Keywords: Visceral leishmaniasis, Kala azar

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