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Various Leishmania species were mentioned by two of the three speakers
for the Symposium on leishmaniasis in Iraq in the Ann Meetng Am Soc Trop
Med Hyg (12/6/03) last week. The first speaker, Dr. Russell Coleman is
an entomologist. He mentioned the finding of L infantum from infected flies.
The 2nd speaker, Dr. Glenn Wortmann is a physician. He identified clinical
isolates as L major by PCR. Those interested in the subject may wish to
contact the speakers directly for accurate and detail information.
<p>I recall previous descriptions of L major, L tropica and L donovani
in Iraq.
<p>KP
<p>Peter Myler wrote:
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<div class="MsoNormal"><span style='font-size:
10.0pt;font-family:Arial;color:navy'><font face="Arial"><font color="#000080"><font size=-1>My
understanding is that all the cases so far have been <span class=SpellE>cutaneous</span><span class=SpellE>leishmaniasis</span>
and have been L. major.</font></font></font><o:p></o:p></span></div>
<p class="MsoNormal"><span style='font-size:
10.0pt;font-family:Arial;color:navy'><o:p></o:p></span>
<p class="MsoNormal"><span style='font-size:
10.0pt;font-family:Arial;color:navy'><font face="Arial"><font color="#000080"><font size=-1>Peter</font></font></font><o:p></o:p></span>
<p class="MsoNormal"><span style='font-size:
10.0pt;font-family:Arial;color:navy'><o:p></o:p></span><span lang=DE style='font-size:10.0pt;
font-family:Arial;color:navy;mso-ansi-language:DE;mso-no-proof:yes'><font face="Arial"><font color="#000080"><font size=-1>Peter
J. Myler, Ph.D.</font></font></font></span><span lang=DE style='color:navy;
mso-ansi-language:DE;mso-no-proof:yes'><o:p></o:p></span>
<p><span style='font-size:10.0pt;font-family:
Arial;color:navy;mso-no-proof:yes'><font face="Arial"><font color="#000080"><font size=-1>Associate
Member</font></font></font></span><span style='color:navy;mso-no-proof:yes'>
<br></span><span style='font-size:10.0pt;
font-family:Arial;color:navy;mso-no-proof:yes'><font face="Arial"><font color="#000080"><font size=-1>Seattle
Biomedical Research Institute</font></font></font></span><span style='color:navy;mso-no-proof:
yes'>
<br></span><span style='font-size:10.0pt;
font-family:Arial;color:navy;mso-no-proof:yes'><font face="Arial"><font color="#000080"><font size=-1>4
Nickerson Street</font></font></font></span><span style='color:navy;mso-no-proof:yes'>
<br></span><span style='font-size:10.0pt;
font-family:Arial;color:navy;mso-no-proof:yes'><font face="Arial"><font color="#000080"><font size=-1>Seattle,
WA 98109-1651</font></font></font></span><span style='color:navy;mso-no-proof:yes'>
<br></span><span style='font-size:10.0pt;
font-family:Arial;color:navy;mso-no-proof:yes'><font face="Arial"><font color="#000080"><font size=-1>(206)
284-8846 x332</font></font></font></span><span style='color:navy;mso-no-proof:yes'>
<br></span><span style='font-size:10.0pt;
font-family:Arial;color:navy;mso-no-proof:yes'><font face="Arial"><font color="#000080"><font size=-1>(206)
284-0313 (FAX)</font></font></font></span><span style='color:navy;mso-no-proof:yes'>
<br></span><span style='font-size:10.0pt;
font-family:Arial;color:navy;mso-no-proof:yes'><font face="Arial"><font color="#000080"><font size=-1><a href="mailto:peter.myler@sbri.org">peter.myler@sbri.org</a></font></font></font>
<br><font face="Arial"><font color="#000080"><font size=-1><a href="mailto:mylerpj@sbri.org">mylerpj@sbri.org</a></font></font></font></span><span style='color:navy;mso-no-proof:yes'><o:p></o:p></span>
<p class="MsoPlainText"><span
style='font-size:10.0pt;font-family:Arial;color:navy;mso-no-proof:yes'><font face="Arial"><font color="#000080"><font size=-1>Research
Associate Professor</font></font></font></span><span style='color:navy;
mso-no-proof:yes'>
<br></span><span style='font-family:Arial;
color:navy;mso-no-proof:yes'><font face="Arial"><font color="#000080">Department
of Pathobiology</font></font></span><span style='color:navy;mso-no-proof:yes'>
<br></span><span style='font-family:Arial;
color:navy;mso-no-proof:yes'><font face="Arial"><font color="#000080">Adjunct
Research Associate Professor</font></font>
<br><font face="Arial"><font color="#000080">Division of Biomedical and
Health Informatics</font></font></span><span
style='color:navy;mso-no-proof:yes'>
<br></span><span style='font-family:Arial;
color:navy;mso-no-proof:yes'><font face="Arial"><font color="#000080">Department
of Medical Education and Biomedical Informatics</font></font>
<br><font face="Arial"><font color="#000080">University of Washington</font></font></span><span style='color:navy;
mso-no-proof:yes'>
<br></span><span style='font-family:Arial;
color:navy;mso-no-proof:yes'><font face="Arial"><font color="#000080">Seattle,
WA 98195</font></font></span><span style='color:navy;mso-no-proof:yes'>
<br></span><span style='font-family:Arial;
color:navy;mso-no-proof:yes'><font face="Arial"><font color="#000080">Box
357238</font></font></span><span
style='color:navy;mso-no-proof:yes'>
<br></span><span style='font-family:Arial;
color:navy;mso-no-proof:yes'><font face="Arial"><font color="#000080"><a href="mailto:mylerpj@u.washington.edu">mylerpj@u.washington.edu</a></font></font></span><span style='color:navy;mso-no-proof:yes'><o:p></o:p></span>
<div class="MsoNormal"><span style='font-size:
10.0pt;font-family:Arial;color:navy'><o:p></o:p></span></div>
<p class="MsoNormal" style="margin-left:.5in"><span
style='font-size:10.0pt;font-family:Tahoma'><font face="Tahoma"><font size=-1>-----Original
Message-----</font></font>
<br><span style='font-weight:bold'><font face="Tahoma"><font size=-1><b>From:</span></b>
Leah Landi [<A HREF="mailto:llandi@americasmart.com">mailto:llandi@americasmart.com</A>]</font></font>
<br><span style='font-weight:bold'><font face="Tahoma"><font size=-1><b>Sent:</span></b>
Monday, December 08, 2003 6:22 AM</font></font>
<br><span style='font-weight:bold'><font face="Tahoma"><font size=-1><b>To:</span></b>
'leish-l@fat.org.br'</font></font>
<br><span style='font-weight:bold'><font face="Tahoma"><font size=-1><b>Subject:</span></b>
[leish-l] RE: leish-l digest, Vol 1 #138 - 1 msg</font></font></span>
<p class="MsoNormal" style="margin-left:.5in"><span
style='font-size:12.0pt'><o:p></o:p></span>
<p style="margin-left:.5in"><span
style='font-size:10.0pt'><font face="Times New Roman"><font size=-1>Does
anyone know if this is confirmed Visceral or Cutaneous and what species
it comes from???</font></font></span><o:p></o:p>
<p style="margin-left:.5in"><span
style='font-size:10.0pt'><font face="Times New Roman"><font size=-1>The
most non-toxic medication would be miltefosine.</font></font></span><o:p></o:p>
<p style="margin-left:.5in"><span
style='font-size:10.0pt'><font face="Times New Roman"><font size=-1>LEAH
M. LANDI </font></font></span>
<br><span style='font-size:10.0pt'><font size=-1>LEASE ADMINISTRATION </font></span>
<br><span style='font-size:10.0pt'><font size=-1>SUPERVISOR</font></span>
<br><span style='font-size:10.0pt'><font size=-1>OFFICE(404)-220-3053</font></span>
<br><span style='font-size:10.0pt'><font size=-1>FAX (404)220-3044 </font></span><o:p></o:p>
<p class="MsoNormal" style="margin-left:.5in"><span
style='font-size:12.0pt'><o:p></o:p></span>
<p style="margin-left:.5in"><span
style='font-size:10.0pt'><font face="Times New Roman"><font size=-1>-----Original
Message-----</font></font></span>
<br><span style='font-size:10.0pt'><font size=-1>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></span>
<br><span style='font-size:10.0pt'><font size=-1>Sent: Sunday, December
07, 2003 9:01 AM</font></span>
<br><span style='font-size:10.0pt'><font size=-1>To: leish-l@fat.org.br</font></span>
<br><span style='font-size:10.0pt'><font size=-1>Subject: leish-l digest,
Vol 1 #138 - 1 msg</font></span><o:p></o:p>
<p style="margin-left:.5in"><span
style='font-size:10.0pt'><font face="Times New Roman"><font size=-1>Send
leish-l mailing list submissions to</font></font></span>
<br><span style='font-size:
10.0pt'><font size=-1>leish-l@fat.org.br</font></span><o:p></o:p>
<p style="margin-left:.5in"><span
style='font-size:10.0pt'><font face="Times New Roman"><font size=-1>To
subscribe or unsubscribe via the World Wide Web, visit</font></font></span>
<br><span style='font-size:
10.0pt'><font size=-1><a href="http://panda.fat.org.br/mailman/listinfo/leish-l" target="_blank">http://panda.fat.org.br/mailman/listinfo/leish-l</a></font></span>
<br><span style='font-size:10.0pt'><font size=-1>or, via email, send a
message with subject or body 'help' to</font></span>
<br><span style='font-size:
10.0pt'><font size=-1>leish-l-request@fat.org.br</font></span><o:p></o:p>
<p style="margin-left:.5in"><span
style='font-size:10.0pt'><font face="Times New Roman"><font size=-1>You
can reach the person managing the list at</font></font></span>
<br><span style='font-size:
10.0pt'><font size=-1>leish-l-admin@fat.org.br</font></span><o:p></o:p>
<p style="margin-left:.5in"><span
style='font-size:10.0pt'><font face="Times New Roman"><font size=-1>When
replying, please edit your Subject line so it is more specific</font></font></span>
<br><span style='font-size:10.0pt'><font size=-1>than "Re: Contents of
leish-l digest..."</font></span><o:p></o:p>
<p class="MsoNormal" style="margin-left:.5in"><span
style='font-size:12.0pt'><o:p></o:p></span>
<p style="margin-left:.5in"><span
style='font-size:10.0pt'><font face="Times New Roman"><font size=-1>Today's
Topics:</font></font></span><o:p></o:p>
<p style="margin-left:.5in"><span
style='font-size:10.0pt'><font face="Times New Roman"><font size=-1>
1. Baghdad Boil -- (Peter Singfield)</font></font></span><o:p></o:p>
<p style="margin-left:.5in"><span
style='font-size:10.0pt'><font face="Times New Roman"><font size=-1>--__--__--</font></font></span><o:p></o:p>
<p style="margin-left:.5in"><span
style='font-size:10.0pt'><font face="Times New Roman"><font size=-1>Message:
1</font></font></span>
<br><span style='font-size:10.0pt'><font size=-1>Date: Fri, 05 Dec 2003
10:49:24 -0600</font></span>
<br><span style='font-size:10.0pt'><font size=-1>To: leish-l@fat.org.br</font></span>
<br><span style='font-size:10.0pt'><font size=-1>From: Peter Singfield
<snkm@btl.net></font></span>
<br><span style='font-size:10.0pt'><font size=-1>Subject: [leish-l] Baghdad
Boil --</font></span><o:p></o:p>
<p class="MsoNormal" style="margin-left:.5in"><span
style='font-size:12.0pt'><o:p></o:p></span>
<p style="margin-left:.5in"><span
style='font-size:10.0pt'><font face="Times New Roman"><font size=-1>New
name for cutaneous Leishmaniasis??</font></font></span><o:p></o:p>
<p style="margin-left:.5in"><span
style='font-size:10.0pt'><font face="Times New Roman"><font size=-1>Baghdad
Boil' disease afflicts 148 GIs in Iraq </font></font></span><o:p></o:p>
<p style="margin-left:.5in"><span
style='font-size:10.0pt'><font face="Times New Roman"><font size=-1>05.12.2003
[17:15] </font></font></span>
<br><span style='font-size:10.0pt'></span><o:p></o:p>
<p style="margin-left:.5in"><span
style='font-size:10.0pt'><font face="Times New Roman"><font size=-1>Nearly
150 U.S. soldiers in Iraq have been diagnosed with a parasitic skin</font></font></span>
<br><span style='font-size:10.0pt'><font size=-1>disease and hundreds more
could unknowingly be infected, doctors reported</font></span>
<br><span style='font-size:10.0pt'><font size=-1>Thursday. </font></span><o:p></o:p>
<p style="margin-left:.5in"><span
style='font-size:10.0pt'><font face="Times New Roman"><font size=-1>Doctors
fear that soldiers returning from the front may consult doctors in</font></font></span>
<br><span style='font-size:10.0pt'><font size=-1>the United States who
have never seen the disease. Complicating matters:</font></span>
<br><span style='font-size:10.0pt'><font size=-1>The best drug used to
treat it is not licensed in the United States. </font></span><o:p></o:p>
<p style="margin-left:.5in"><span
style='font-size:10.0pt'><font face="Times New Roman"><font size=-1>Leishmaniasis,
which soldiers have coined the "Baghdad Boil," is carried by</font></font></span>
<br><span style='font-size:10.0pt'><font size=-1>biting sand flies and
doesn't spread from person to person. It causes skin</font></span>
<br><span style='font-size:10.0pt'><font size=-1>lesions that if untreated
may take months, even years, to heal. The lesions</font></span>
<br><span style='font-size:10.0pt'><font size=-1>can be disfiguring, doctors
say. </font></span><o:p></o:p>
<p style="margin-left:.5in"><span
style='font-size:10.0pt'><font face="Times New Roman"><font size=-1>So
far, 148 soldiers have confirmed cases, but hundreds more are expected,</font></font></span>
<br><span style='font-size:10.0pt'><font size=-1>says Army Lt. Col. Russell
Coleman, an entomologist who spent 10 months in</font></span>
<br><span style='font-size:10.0pt'><font size=-1>Iraq with the 520th Theater
Army Medical Laboratory. He reported the</font></span>
<br><span style='font-size:10.0pt'><font size=-1>outbreak Thursday to the
American Society of Tropical Medicine and Hygiene,</font></span>
<br><span style='font-size:10.0pt'><font size=-1>meeting in Philadelphia. </font></span><o:p></o:p>
<p style="margin-left:.5in"><span
style='font-size:10.0pt'><font face="Times New Roman"><font size=-1>Sand
flies are active during warm weather, and soon after U.S. troops</font></font></span>
<br><span style='font-size:10.0pt'><font size=-1>arrived in Iraq in late
March, "we started seeing soldiers basically eaten</font></span>
<br><span style='font-size:10.0pt'><font size=-1>alive," Coleman says.
"They'd get a hundred, in some cases 1,000 bites in a</font></span>
<br><span style='font-size:10.0pt'><font size=-1>single night." </font></span><o:p></o:p>
<p style="margin-left:.5in"><span
style='font-size:10.0pt'><font face="Times New Roman"><font size=-1>Insect
repellents and bed nets are standard issue, Coleman says, but many</font></font></span>
<br><span style='font-size:10.0pt'><font size=-1>units failed to pack them
when they were deployed. </font></span><o:p></o:p>
<p style="margin-left:.5in"><span
style='font-size:10.0pt'><font face="Times New Roman"><font size=-1>The
sand flies have vanished with the cooler weather in Iraq, but because</font></font></span>
<br><span style='font-size:10.0pt'><font size=-1>of a long incubation period,
lesions may not appear for six months or</font></span>
<br><span style='font-size:10.0pt'><font size=-1>longer after infection
occurs. Coleman and Army Lt. Col. Peter Weina, a</font></span>
<br><span style='font-size:10.0pt'><font size=-1>leishmaniasis expert still
in Iraq, predicted in April that there would be</font></span>
<br><span style='font-size:10.0pt'><font size=-1>400 cases. </font></span><o:p></o:p>
<p style="margin-left:.5in"><span
style='font-size:10.0pt'><font face="Times New Roman"><font size=-1>All
affected soldiers are being sent to Walter Reed Army Medical Center in</font></font></span>
<br><span style='font-size:10.0pt'><font size=-1>Washington, D.C., to be
treated with the drug Pentosam. </font></span><o:p></o:p>
<p style="margin-left:.5in"><span
style='font-size:10.0pt'></span>
<br><span style='font-size:10.0pt'><font size=-1> USA Today </font></span><o:p></o:p>
<p style="margin-left:.5in"><span
style='font-size:10.0pt'><font face="Times New Roman"><font size=-1>Article
found at:</font></font></span><o:p></o:p>
<p style="margin-left:.5in"><span
style='font-size:10.0pt'><font size=-1><a href="http://www1.iraqwar.ru/iraq-read_article.php?articleId=28318?=en" target="_blank"><font face="Times New Roman">http://www1.iraqwar.ru/iraq-read_article.php?articleId=28318<span style='font-family:"Arial Unicode MS";mso-fareast-font-family:
PMingLiU'></font><font face="Arial Unicode MS">〈</span></font><font face="Times New Roman">=en</font></a></font></span>
<br><span style='font-size:10.0pt'></span><o:p></o:p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:
12.0pt;margin-left:.5in"><span
style='font-size:12.0pt'><o:p></o:p></span>
<p style="margin-left:.5in"><span
style='font-size:10.0pt'><font face="Times New Roman"><font size=-1>--__--__--</font></font></span><o:p></o:p>
<p style="margin-left:.5in"><span
style='font-size:10.0pt'><font face="Times New Roman"><font size=-1>_______________________________________________</font></font></span>
<br><span style='font-size:10.0pt'><font size=-1>leish-l mailing list</font></span>
<br><span style='font-size:10.0pt'><font size=-1>leish-l@fat.org.br</font></span>
<br><span style='font-size:10.0pt'><font size=-1><a href="http://panda.fat.org.br/mailman/listinfo/leish-l" target="_blank">http://panda.fat.org.br/mailman/listinfo/leish-l</a></font></span><o:p></o:p>
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style='font-size:12.0pt'><o:p></o:p></span>
<p style="margin-left:.5in"><span
style='font-size:10.0pt'><font face="Times New Roman"><font size=-1>End
of leish-l Digest</font></font></span><o:p></o:p></div>
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