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Published on: February 20, 2020
[Three new cases of visceral leishmaniasis in Côte d'Ivoire]
S P Eholié1, A K Tanon, M Folquet-Amorissani
1Service des maladies infectieuses et tropicales, BP V 3, CHU Treichville, Abidjan, Côte d'Ivoire.
Abstract:
The objective of this work is to report three cases of visceral leishmaniasis in non-HIV infected native patients in Côte d'Ivoire. The three observations concerned adults aged of 31 and 65 and a five years old child without particular medical or surgery histories. Factors associated with visceral leishmaniasis regarding the younger and the older adults were respectively young age, chronic lymphoid leukaemia and Burkitt lymphoma. Clinical features in the three cases were chronic fever a myeloproliferative syndrome with wasting syndrome and pancytopenia. The diagnosis was confirmed by the existence of Leishmania in bone marrow, ganglionic juice and splenic samples. The species of Leishmania was not identified. Specific treatment was based on intravenous amphotericin B (Fungizone) relayed by Glucantim in one case because of side effects; however the treatment has been unsuccessful. These three new cases show that visceral leishmaniasis is a reality in Côte d'Ivoire therefore an epidemiological survey is requested in order to identify Leishmania species, reservoirs and vectors.
Insights
Visceral leishmaniasis is present in Côte d'Ivoire, affecting non-HIV patients. Further surveys are needed to identify Leishmania species, reservoirs, and vectors for better control.
Area of Science:
- Infectious Diseases
- Tropical Medicine
- Parasitology
Background:
- Visceral leishmaniasis (VL) is a serious parasitic disease.
- VL is endemic in many tropical and subtropical regions.
- Data on VL in Côte d'Ivoire is limited.
Observation:
- Three cases of VL in non-HIV infected native patients in Côte d'Ivoire are reported.
- Cases included adults and a child with associated conditions like leukemia and lymphoma.
- Clinical presentation involved fever, wasting, and pancytopenia.
Findings:
- Diagnosis confirmed by Leishmania detection in bone marrow, lymph nodes, and spleen.
- Treatment with amphotericin B and Glucantim was unsuccessful.
- Leishmania species were not identified.
Implications:
- These cases highlight VL as a significant health issue in Côte d'Ivoire.
- An epidemiological survey is crucial to identify Leishmania species, reservoirs, and vectors.
- Understanding transmission dynamics is vital for disease control and prevention.
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