[Leish-l] name

Tue Apr 20 12:11:46 BRT 2010

Dear all

We have a 42 years old patients with VL here in Nepal treated initially with Amphotoricin B in another center incompletely. This patients also received Meltefosine for 28 days few months back. He was referred to our hospital 2 months ago with fever and spleenomegaly. Bone marrow aspiration showed positive for LD bodies. We treated the patients with Lipid complex ambhotoricin 5 mg/kg alternate daily for five days. The spleen size reduced and patients  was discharged and asked him to come hospital after month. During his hospital visit we performed Bone marrow aspiration showed planty of LD bodies. Since we have no other choice we started Ambhotoricn B 1mg/kg daily for 21 days. The spleen size almost not palpable and on 22 days after the treatment we performed  bone marrow which shows scanty LD bodies. 
Anyone can suggest for the furthere plan.

Thanks,

Dr. Basu Dev Pandey, MD, PhD
Sukra Raj Infectious and Tropical Disease Hospital
Teku, Kathmandu, Nepal
Tel: 977-1-4253395
Email: basupandey at wlink.com.np
  ----- Original Message ----- 
  From: Sinval Pinto Brandão Filho 
  To: leish-l at lineu.icb.usp.br 
  Sent: Sunday, April 18, 2010 1:52 AM
  Subject: Re: [Leish-l] name

  There is a consensus in the different opinions, perfectly explained in the messages of professors Killick, Ashford and Bryceson: anthroponotic visceral leishmaniasis and zoonotic visceral leishmaniasis. The name calazar used in Brazil is only an neologism derived of kala-azar to the common name for the clinical form of the disease visceral leishmaniasis, also used in the classical book “Calazar Canino” of professor Joaquim Alencar for the disease form in dogs. 

  According the WHO technical report, leishmaniasis, not leishmaniosis.

  Sinval

  De: leish-l-bounces at lineu.icb.usp.br [mailto:leish-l-bounces at lineu.icb.usp.br] Em nome de Carlos Costa
  Enviada em: quinta-feira, 8 de abril de 2010 08:14
  Para: Christopher Peacock
  Cc: Leish-L
  Assunto: Re: [Leish-l] name

  Dear,

  Now, urban kala-azar is endemic in many Brazilian state capitals, and everybody, doctors and the media, calls it as "calazar". However, in most Brazilian scientific papers, "visceral leishmaniasis" ("leishmaniose visceral", in Portuguese) is preferred, specially when the text is written in English.

  Another point is that if one says just "leishmaniose" in Brazil it will be generally understood as cutaneous leishmaniasis. To be understood as the systemic disease one must say "calazar" or "leishmaniose visceral". 

  Another intriguing spelling is the use of both leishmaniasis and leishmaniosis, in English texts.  Are there rules for it?

  Cheers,

  Carlos. 

  2010/4/8 Christopher Peacock <cpeacock at cyllene.uwa.edu.au>

  Interesting that the Hindi name (Kala = black azar = fever) has been taken up and brazlianised so effectively, when I was in the North East of Brasil researching VL  in 1992-94 don’t recall anyone using the term calazar, they generally called it leishmaniose. It is also odd that L chagasi doesn’t darken the skin in the same way L. donovani does so the entire meaning has been lost. 

  Cheers

  Chris

  From: Carlos Costa [mailto:chncosta at gmail.com] 
  Sent: Wednesday, 7 April 2010 5:44 PM
  To: Christopher Peacock
  Cc: Leish-L 

  Subject: Re: [Leish-l] name

  Interestingly, kala-azar has been adopted plenty in Brazil as "calazar", since the earlier scientific papers. However, it was adopted by authors from the Northeast, which is the main endemic area, like Prata and Alencar. Today, both names are normally use, but one may feel that visceral leishmaniasis could stand as more educated and kala-azar (calazar), as more informal, although, in my view both are interchangeable.

  Carlos.

  2010/4/6 Christopher Peacock <cpeacock at cyllene.uwa.edu.au>

  Kala-azar is the Indian name for visceral leishmaniasis so used extensively in the Indian sub continent, it literally means black skin in Hindi I believe. Visceral leishmaniasis is the proper generic name for systemic leishmaniasis caused by L. donovani, L. infantum and L. (infantum) chagasi. Leishmaniasis has a vast array of names depending on the type and geographical location, there was a post on the number of names a few years ago.

  From: leish-l-bounces at lineu.icb.usp.br [mailto:leish-l-bounces at lineu.icb.usp.br] On Behalf Of Carlos Costa
  Sent: Wednesday, 24 March 2010 7:02 AM 

  To: Leish-L
  Subject: [Leish-l] name

  Visceral leishmaniasis or kala-azar? Which, when, how? 

  Carlos.

  -- 
  Carlos H. N. Costa, MD, DSc.
  Instituto de Doenças Tropicais Natan Portella
  Universidade Federal do Piauí
  Brazil
  Telephone: +55 86 3221-3413

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  -- 
  Carlos H. N. Costa, MD, DSc.
  Instituto de Doenças Tropicais Natan Portella
  Universidade Federal do Piauí
  Brazil
  Telephone: +55 86 3221-3413

  As informações contidas nesta mensagem são CONFIDENCIAIS, protegidas pelo sigilo legal, por direitos autorais e destinadas exclusivamente à pessoa ou organização para a qual a mensagem foi destinada.
  Warning: This message is meant only for the intended recipient of the transmission.  It is forbidden any unauthorized use, alteration, reproduction and distribution. If you are not the correct recipient, please notify us immediately by return e-mail and delete this message from your system. 

  -- 
  Carlos H. N. Costa, MD, DSc.
  Instituto de Doenças Tropicais Natan Portella
  Universidade Federal do Piauí
  Brazil
  Telephone: +55 86 3221-3413

  As informações contidas nesta mensagem são CONFIDENCIAIS, protegidas pelo sigilo legal, por direitos autorais e destinadas exclusivamente à pessoa ou organização para a qual a mensagem foi destinada.
  Warning: This message is meant only for the intended recipient of the transmission.  It is forbidden any unauthorized use, alteration, reproduction and distribution. If you are not the correct recipient, please notify us immediately by return e-mail and delete this message from your system. 

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