[Leish-l] Fwd: Fw: PRO/AH/EDR> LEISHMANIASIS, VISCERAL - EGYPT:CAIRO - REQUEST FOR INFORMATION

[Leishmania News]

De: <promed at promedmail.org>
Data: terça-feira, 28 de março de 2017
Assunto: PRO/AH/EDR> LEISHMANIASIS, VISCERAL - EGYPT:CAIRO - REQUEST FOR
INFORMATION
Para: promed-post at promedmail.org, promed-edr-post at promedmail.org,
promed-ahead-post at promedmail.org



LEISHMANIASIS, VISCERAL - EGYPT:CAIRO - REQUEST FOR INFORMATION
***************************************************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

Date: Mon 27 Mar 2017
From:  A reliable source known to ProMED


A patient [from Cairo, Egypt] presented with fever, splenomegaly,
hepatomegaly, severe weight loss and pancytopenia. A bone marrow
biopsy showed leishmania parasites. The analysis was performed at a
university laboratory in Cairo. The patients has not travelled outside
Cairo.

Another concern is that there are new cases in the Cairo area with
many affected patients,[which was learned from talking with colleagues
there].

--
Communicated by:
ProMED-mail
<promed at promedmail.org>

[The present report clearly shows that there is a risk of visceral
leishmanaisis in Cairo. This is new information and Cairo has
previously been regarded as Leishmaniasis free. ProMED-mail will be
happy to publish further information if available.

The review of the world situation of Leishmanaisis (Alvar J et al.
Leishmaniasis worldwide and global estimates of its incidence. PLoS
One. 2012;7(5):e35671. doi: 10.1371/journal.pone.0035671. Supplement
28) write:

Leishmania donovani DNA was already found in bone marrow samples taken
from ancient Egyptian and Nubian mummies that originate from around
4000 BC. Since 1904, rare cases of VL have been reported in Egypt;
some were imported, others were probably autochtonous. A focus of VL
was discovered in El Agamy, 25 km west of Alexandria in 1982. The last
case there was reported in 2005 and only one more case of VL was
reported, in the Suez region in 2008. However, due to a lack of
awareness among medical practitioners, VL is suspected to be
underreported. Import of cases from Libya and Sudan may occur
regularly and go unnoticed.

CL has been an increasing problem in Egypt [1]. Known foci are among
nomads in North Sinai with 471 reported cases in 2008 [2]. In an
active case detection survey 200 new cases were identified, confirming
underreporting to a large degree. The reported number of cases is
estimated to be 4-5 times lower than the real number of cases. In 2010
(until July only), 133 cases were reported. People at risk are
soldiers, laborers, and immunocompromised adults.

1.      Postigo JA (2010). Leishmaniasis in the World Health Organization
Eastern Mediterranean Region. Int J Antimicrob Agents 36 Suppl
1:S62-5.
2.      Shehata MG, Samy AM, Doha SA, Fahmy AR, Kaldas RM et al (2009).
First Report of Leishmania tropica from a Classical Focus of L. major
in North-Sinai, Egypt Am J Trop Med Hyg 81(2): 213 - 218."

- Mod. EP

A HealthMap/ProMED-mail map can be accessed at:
<http://healthmap.org/promed/p/55>.]

[See Also:
2012
----
Leishmaniasis - Egypt: (Ismailia Governate):
http://promedmail.org/post/20120303.1059507]
.................................................ep/ao/mpp/jh
*##########################################################*
************************************************************
ProMED-mail makes every effort to  verify  the reports  that
are  posted,  but  the  accuracy  and  completeness  of  the
information,   and  of  any  statements  or  opinions  based
thereon, are not guaranteed. The reader assumes all risks in
using information posted or archived by  ProMED-mail.   ISID
and  its  associated  service  providers  shall not be  held
responsible for errors or omissions or  held liable for  any
damages incurred as a result of use or reliance upon  posted
or archived material.
************************************************************
Donate to ProMED-mail. Details available at:
<http://www.isid.org/donate/>
************************************************************
Visit ProMED-mail's web site at <http://www.promedmail.org>.
Send all items for posting to: promed at promedmail.org (NOT to
an individual moderator).  If you do not give your full name
name and affiliation,  it may not be posted.  You may unsub-
scribe at  <http://ww4.isid.org/promedmail/subscribe.php>.
For  assistance  from   a   human   being, send mail to:
<postmaster at promedmail.org>.