Naik S R, Rao P N, Datta D V, Mehta S K, Mahajan R C, Mehta S, Chhuttani P N
Trans R Soc Trop Med Hyg. 1979;73(1):61-5. doi: 10.1016/0035-9203(79)90131-7.
Twenty-four sporadic cases of kala-azar diagnosed over an 11-year period in a referral medical centre in north-western India are reported. Most of the patients were residents of non-endemic areas or where endemicity was low. Certain unusual clinical and laboratory features were seen in some of the cases, namely, lymphadenopathy, nasopharyngeal growth, acute and chronic hepatic involvement and portal hypertension. Awareness of the occurrence of the disease and of its protean modes of presentation was found to be an important factor in early diagnosis.
报告了印度西北部一家转诊医疗中心在11年期间诊断出的24例散发性黑热病病例。大多数患者是非流行地区或流行率低地区的居民。在一些病例中观察到某些不寻常的临床和实验室特征，即淋巴结病、鼻咽部肿物、急慢性肝脏受累和门静脉高压。发现对该疾病的发生及其多样的表现形式有所认识是早期诊断的一个重要因素。
