Nadeem Seema, Shamroz Sabah, Iqbal Touqueer, ul Manan Modood, Salaam Abdus
Department of Pathology, Women Medical College, Abbottabad, Pakistan.
J Ayub Med Coll Abbottabad. 2010 Jul-Sep;22(3):58-60.
Leishmaniasis is a parasitic disease caused by a haemoflagellate Leishmania, transmitted to humans through bites of female sand fly. The objective of this study was to assess the frequency of leishmaniasis in Abbottabad and nearby areas including villages of Nawanshehr, Dhodial, Gamavan, Sheikhulbandi, Kakul and Malikpura.
This was a retrospective study carried out in Pathology Department, Women Medical College and Benazir Bhutto Teaching Hospital Abbottabad from 2005 to 2009. The diagnosis was based on intracellular and extracellular amastigote forms of Leishmania donovani in the bone marrow aspirates.
We diagnosed 61 cases of visceral leishmaniasis, mostly from Nawanshehr (32.78%), in children below 5 years of age with febrile splenomegaly.
The disease is gradually spreading southwards in the country. A high index of suspicion should be kept in mind for all cases coming from Northern Areas of the country where the frequency is quite high. Local health authorities should take drastic action against this spreading disease.
利什曼病是一种由血液鞭毛虫利什曼原虫引起的寄生虫病，通过雌性白蛉叮咬传播给人类。本研究的目的是评估阿伯塔巴德及其附近地区，包括纳万舍尔、多迪阿尔、加马万、谢胡尔班迪、卡库尔和马利克普拉等村庄的利什曼病发病频率。
这是一项于2005年至2009年在阿伯塔巴德女子医学院病理科和贝娜齐尔·布托教学医院开展的回顾性研究。诊断基于骨髓穿刺物中杜氏利什曼原虫的细胞内和细胞外无鞭毛体形式。
我们诊断出61例内脏利什曼病病例，大多来自纳万舍尔（32.78%），患者为5岁以下发热性脾肿大儿童。
该病在该国正逐渐向南蔓延。对于来自该国北部地区、发病率相当高的所有病例，应保持高度怀疑指数。当地卫生当局应对这种正在蔓延的疾病采取严厉措施。
