[Leish-l] burqa

[Carlos Costa]

Hi Basu,

Have you tested for HIV? Amastigotes identification is quite specific. Are
they abundant? Have you cultivated?

Cheers,

Carlos.

Em ter, 4 de dez de 2018 às 03:56, Basu Dev Pandey <drbasupandey at gmail.com>
escreveu:

> Dear All.
> I have patients with fever for more than month and was positive for rk39
> and Bone for LD bodies. However is not responding. Here is summary of the
> cases and looking forward for your expert opinion,
>
>
> --------------------------------------------------------------------------------------------------------------------------------------------------
>
> *32 years old male patient fever for more than 1 month*
>
> ·         High TG
>
> ·         High Ferritin
>
> ·         Pancytopenia
>
> ·         BM inconclusive for
>
>  Hemotological causes
>
>
> Important: visceral leishmaniasis with brucellosis
>
> Persistent fever with cytopeniasis
>
> Hemophagocytic lymphohistocytosis?
>
>    - No comorbidities
>       - Loose stools x 1 year
>       - Fever x 1 month
>       - Cough x 1 month
>    - Pallor (+)
>    - Icterus  (+)
>    - Hepatosplenomegaly (+)
>
> Ø  *Test*
>
>    - rK39 (+)
>    - LD body seen in bone marrow smears (+)
>    - Brucella Ab  (+)
>    - PCR for Leishmania – in procress
>    - TORCH panel – awaited
>
> Ø  *Treatment*
>
> ·         LAMB 5mg/kg for 3 days given 2 week back
>
> ·         Doxycycline  and Rifampicin  continued
>
> ·         On Cortilone 40mg OD started 1 week back
>
> However fever is persistent
>
> Ø  *Plan:*
>
>    - CT Chest (+), Abdomen (+), Pelvis
>    - Start ATT ?
>    - Hematology consultation for ruling out HLH
>    - Gastroenterology & Hepatology consultation for Colonoscopy; to rule
>    out any GI cause
>    - Start Inj Paromomycin ?
>    - Start T. Coartem  ?
>
>
> ------------------------------------------------------------------------------------------------------------------------------------
> Regards,
>
> Dr. Basu Dev Pandey
> Director
> Sukraraj Tropical and Infectious Disease Hospital
> Teku, Kathmandu
> Telephone: +977-1- 4216192,4268960
> Email: drbasupandey at gmail.com
> URL: www.stidh.gov.np
>
>
>
>
> On Tue, Dec 4, 2018 at 2:24 AM Carlos Costa <chncosta at gmail.com> wrote:
>
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>> Recently, it came up in my mind that the use of burqa might be associated
>> with the protection against cutaneous leishmaniasis in the Middle-East. I
>> am pretty sure that I heard from someone or read somewhere but I cannot
>> recall the source.
>>
>> Then I asked my Prof. Ali Khamesipour, from Tehran, and to Prof. Jeff Shaw
>> but they do not know anything about the subject.
>>
>> Finally, I entered in PubMed and found only the attached article by Al
>> Aboud et al with a quote that burqa might be protective against
>> leishmaniasis.
>>
>> The issue is quite interesting. So, I ask the colleagues who know
>> something
>> or that want to express their thought about the issue to share with our
>> community.
>>
>> Cheers,
>>
>> Carlos.
>>
>>
>> --
>> Carlos H. N. Costa, MD, DSc.
>> President
>> Instituto de Doenças do Sertão
>> *Instituto de Doenças Tropicais Natan Portella*
>>
>> *Centro de Ciências da Saúde da Universidade Federal do Piauí*
>> *Rua Artur de Vasconcelos 151-Sul*
>> *64001-450 Teresina-PI*
>> *Brazil*
>> Telephones: +55 86 3222-4377 (W),
>> +55 86 3221-3062 (W),
>> +55 86 3237-1075 (H).
>>
>>
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>

-- 
Carlos H. N. Costa, MD, DSc.
President
Instituto de Doenças do Sertão
*Instituto de Doenças Tropicais Natan Portella*

*Centro de Ciências da Saúde da Universidade Federal do Piauí*
*Rua Artur de Vasconcelos 151-Sul*
*64001-450 Teresina-PI*
*Brazil*
Telephones: +55 86 3222-4377 (W),
+55 86 3221-3062 (W),
+55 86 3237-1075 (H).


Aviso: As informações contidas nesta mensagem são CONFIDENCIAIS, protegidas
pelo sigilo legal, por direitos autorais e destinadas exclusivamente à
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transmission.  It is forbidden any unauthorized use, alteration,
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