Aggarwal P, Wali J P
All India Institute of Medical Sciences, New Delhi.
Asia Pac J Public Health. 1991;5(1):90-3. doi: 10.1177/101053959100500116.
One hundred twenty-nine cases of visceral leishmaniasis (kala-azar) seen over a thirteen year period in a nonendemic area at a referral medical center in north India are described. The epidemiological, clinical and therapeutic features of these patients are presented. A large number of patients came from nonendemic areas and showed some unusual clinical and laboratory features. Use of sodium antimony gluconate led to relapse in approximately 34 percent of cases. Lack of awareness of the occurrence in a nonendemic area and the unusual manifestations may cause considerable difficulties in establishing the diagnosis.
本文描述了在印度北部一家转诊医疗中心的非流行区，13年间所见到的129例内脏利什曼病（黑热病）。介绍了这些患者的流行病学、临床和治疗特征。大量患者来自非流行区，表现出一些不寻常的临床和实验室特征。使用葡萄糖酸锑钠治疗后，约34%的病例出现复发。在非流行区对该病的发生缺乏认识以及其不寻常的表现，可能会给诊断带来相当大的困难。
