[Leish-l] burqa
Mikko Aalto
mikko_aalto at yahoo.com
Wed Dec 19 20:33:56 -02 2018
Dear Basu
Having similar problems I tried to make blood culture routine for all VL patients.
Maybe, if You wish to take a new BM sample, You could do both microscopy, and bacterial and promastigote culture with simple NNN-Medium.
And Chest X-ray?
Taking promastigote culture before starting paromomycin would give clear answer, if positive, if there is resistance to that LAMB dosage schedule.
If incubation at 25C is possible, it is very simple to do.
Yours
Mikko
--------------------------------------------
On Wed, 12/5/18, Basu Dev Pandey <drbasupandey em gmail.com> wrote:
Subject: Re: [Leish-l] burqa
To: "Carlos Costa" <chncosta em gmail.com>
Cc: "Leish-L" <Leish-l em lineu.icb.usp.br>
Date: Wednesday, December 5, 2018, 6:01 PM
Hi Carlos
we tested for HIV antibody
Sent from my iPad
> On Dec 5, 2018, at 8:21 PM, Carlos
Costa <chncosta em gmail.com>
wrote:
>
> 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 em 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 em gmail.com
>> URL: www.stidh.gov.np
>>
>>
>>
>>
>>> On Tue, Dec 4, 2018 at
2:24 AM Carlos Costa <chncosta em gmail.com>
wrote:
>>> This message
is eligible for Automatic Cleanup! (chncosta em gmail.com)
Add cleanup rule | More info
>>> 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
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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