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<TITLE>RE: leish-l digest, Vol 1 #138 - 1 msg</TITLE>
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<P><FONT SIZE=2>Does anyone know if this is confirmed Visceral or Cutaneous and what species it comes from???</FONT>
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<P><FONT SIZE=2>The most non-toxic medication would be miltefosine.</FONT>
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<P><FONT SIZE=2>LEAH M. LANDI </FONT>
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<P><FONT SIZE=2>-----Original Message-----</FONT>
<BR><FONT SIZE=2>From: leish-l-request@fat.org.br [<A HREF="mailto:leish-l-request@fat.org.br">mailto:leish-l-request@fat.org.br</A>] </FONT>
<BR><FONT SIZE=2>Sent: Sunday, December 07, 2003 9:01 AM</FONT>
<BR><FONT SIZE=2>To: leish-l@fat.org.br</FONT>
<BR><FONT SIZE=2>Subject: leish-l digest, Vol 1 #138 - 1 msg</FONT>
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<P><FONT SIZE=2>Today's Topics:</FONT>
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<P><FONT SIZE=2> 1. Baghdad Boil -- (Peter Singfield)</FONT>
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<P><FONT SIZE=2>--__--__--</FONT>
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<P><FONT SIZE=2>Message: 1</FONT>
<BR><FONT SIZE=2>Date: Fri, 05 Dec 2003 10:49:24 -0600</FONT>
<BR><FONT SIZE=2>To: leish-l@fat.org.br</FONT>
<BR><FONT SIZE=2>From: Peter Singfield <snkm@btl.net></FONT>
<BR><FONT SIZE=2>Subject: [leish-l] Baghdad Boil --</FONT>
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<P><FONT SIZE=2>New name for cutaneous Leishmaniasis??</FONT>
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<P><FONT SIZE=2>Baghdad Boil' disease afflicts 148 GIs in Iraq </FONT>
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<P><FONT SIZE=2>05.12.2003 [17:15] </FONT>
<BR><FONT SIZE=2> </FONT>
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<P><FONT SIZE=2>Nearly 150 U.S. soldiers in Iraq have been diagnosed with a parasitic skin</FONT>
<BR><FONT SIZE=2>disease and hundreds more could unknowingly be infected, doctors reported</FONT>
<BR><FONT SIZE=2>Thursday. </FONT>
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<P><FONT SIZE=2>Doctors fear that soldiers returning from the front may consult doctors in</FONT>
<BR><FONT SIZE=2>the United States who have never seen the disease. Complicating matters:</FONT>
<BR><FONT SIZE=2>The best drug used to treat it is not licensed in the United States. </FONT>
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<P><FONT SIZE=2>Leishmaniasis, which soldiers have coined the "Baghdad Boil," is carried by</FONT>
<BR><FONT SIZE=2>biting sand flies and doesn't spread from person to person. It causes skin</FONT>
<BR><FONT SIZE=2>lesions that if untreated may take months, even years, to heal. The lesions</FONT>
<BR><FONT SIZE=2>can be disfiguring, doctors say. </FONT>
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<P><FONT SIZE=2>So far, 148 soldiers have confirmed cases, but hundreds more are expected,</FONT>
<BR><FONT SIZE=2>says Army Lt. Col. Russell Coleman, an entomologist who spent 10 months in</FONT>
<BR><FONT SIZE=2>Iraq with the 520th Theater Army Medical Laboratory. He reported the</FONT>
<BR><FONT SIZE=2>outbreak Thursday to the American Society of Tropical Medicine and Hygiene,</FONT>
<BR><FONT SIZE=2>meeting in Philadelphia. </FONT>
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<P><FONT SIZE=2>Sand flies are active during warm weather, and soon after U.S. troops</FONT>
<BR><FONT SIZE=2>arrived in Iraq in late March, "we started seeing soldiers basically eaten</FONT>
<BR><FONT SIZE=2>alive," Coleman says. "They'd get a hundred, in some cases 1,000 bites in a</FONT>
<BR><FONT SIZE=2>single night." </FONT>
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<P><FONT SIZE=2>Insect repellents and bed nets are standard issue, Coleman says, but many</FONT>
<BR><FONT SIZE=2>units failed to pack them when they were deployed. </FONT>
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<P><FONT SIZE=2>The sand flies have vanished with the cooler weather in Iraq, but because</FONT>
<BR><FONT SIZE=2>of a long incubation period, lesions may not appear for six months or</FONT>
<BR><FONT SIZE=2>longer after infection occurs. Coleman and Army Lt. Col. Peter Weina, a</FONT>
<BR><FONT SIZE=2>leishmaniasis expert still in Iraq, predicted in April that there would be</FONT>
<BR><FONT SIZE=2>400 cases. </FONT>
</P>
<P><FONT SIZE=2>All affected soldiers are being sent to Walter Reed Army Medical Center in</FONT>
<BR><FONT SIZE=2>Washington, D.C., to be treated with the drug Pentosam. </FONT>
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<P><FONT SIZE=2> </FONT>
<BR><FONT SIZE=2> USA Today </FONT>
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<P><FONT SIZE=2>Article found at:</FONT>
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<P><FONT SIZE=2><A HREF="http://www1.iraqwar.ru/iraq-read_article.php?articleId=28318&lang=en" TARGET="_blank">http://www1.iraqwar.ru/iraq-read_article.php?articleId=28318&lang=en</A></FONT>
<BR><FONT SIZE=2> </FONT>
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<P><FONT SIZE=2>--__--__--</FONT>
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<P><FONT SIZE=2>End of leish-l Digest</FONT>
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