Volume : IX, Issue : I, January - 2020
Leishmaniasis: Rainbow of presentations unveiled on bone marrow
Dr Ankur Ahuja, Dr Tathagata Chatterjee, Dr Madhukar Gunjan, Dr Gps Gahlot, Dr Ajay K Baranwal, Dr Kanwaljeet Singh, Dr Beenu Singh
Abstract :
Context: Leishmaniasis (VL) is a chronic infection presents with fever, weight–loss, and splenomegaly. It‘s a mimicker of many infectious and noninfectious illnesses. Aims: We will highlight both the clinical and hematological spectrum of Leishmaniasis in the immunocompetent patients including their unusual presentations. Settings and Design: During evaluation, amastigote forms of Leishmania in bone marrow were diagnosed. In all such cases serological assay of rK39 was done which was well correlated. Methods and Material: We performed a retrospective study of 09 months at a Tertiary Health & Research Centre of Northern India. The patients presented with variable clinical features ranging from infectious etiology to malignant ones. Statistical analysis used: Being a limited number of cases, no statistical software was used. Results: Among total six patients, four presented with splenomegaly, one with renal failure and one with unilateral pleural effusion. Three and two of such patients presented with long and short duration of fever respectively and one was afeile. Outcome of all cases was good due to timely diagnosis and management with intravenous liposomal amphotericin B. Conclusion: Diagnosis of visceral leishmaniasis can be challenging due to atypical clinical presentations at times, therefore an early investigation and prompt treatment is recommended.
Keywords :
Visceral Leishmaniasis (VL) Kala azar Bone marrow aspiration (BMA) rK39 antigen Leishmania donovani (LD) bodies Amastigote
Article:
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DOI : 10.36106/ijsr
Cite This Article:
LEISHMANIASIS: RAINBOW OF PRESENTATIONS UNVEILED ON BONE MARROW, Dr Ankur Ahuja, Dr Tathagata Chatterjee, Dr Madhukar Gunjan, Dr GPS Gahlot, Dr Ajay K Baranwal, Dr Kanwaljeet Singh, Dr Beenu Singh INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-9 | Issue-1 | January-2020
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LEISHMANIASIS: RAINBOW OF PRESENTATIONS UNVEILED ON BONE MARROW, Dr Ankur Ahuja, Dr Tathagata Chatterjee, Dr Madhukar Gunjan, Dr GPS Gahlot, Dr Ajay K Baranwal, Dr Kanwaljeet Singh, Dr Beenu Singh INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-9 | Issue-1 | January-2020
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