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Cutaneous leishmaniasis: an emerging childhood infection
Shaheen Shoaib1, Shoaib Tauheed, Amtul Hafeez
1Dow University of Health Sciences, Karachi, Pakistan. shaheens@cyber.net.pk
Insights
Cutaneous Leishmaniasis (CL) is a significant childhood disease in Pakistan, particularly in Sindh. This study confirmed CL in 185 children, identifying L. tropica and L. major strains.
Area of Science:
- Medical Parasitology
- Dermatology
- Epidemiology
Background:
- Cutaneous Leishmaniasis (CL) is endemic in Pakistan, with recent outbreaks in Sindh.
- The study investigated the prevalence of CL as a childhood disease.
Purpose of the Study:
- To determine the prevalence of Cutaneous Leishmaniasis in children.
- To identify the Leishmania species responsible for CL in the studied pediatric population.
Main Methods:
- A cross-sectional study involving 400 patients presenting to skin clinics.
- Diagnostic confirmation of CL through microscopy, culture, and Polymerase Chain Reaction (PCR).
Main Results:
- 185 out of 400 cases (ages 1-14 years) were clinically diagnosed and laboratory-confirmed for CL.
- Lesions varied between dry and wet types, suggesting the presence of multiple parasite strains.
- PCR analysis confirmed the presence of Leishmania tropica and Leishmania major.
Conclusions:
- Cutaneous Leishmaniasis demonstrates significant prevalence among children in the studied region.
- The identified Leishmania strains (L. tropica and L. major) are associated with CL in Pakistani children.
Background:
Cutaneous Leishmaniasis (CL) has been an endemic parasitic infection in certain areas of Pakistan. New outbreaks have occurred in many areas not identified previously especially in the province of Sindh. The object of this study was to see the prevalence of CL as a childhood disease.
Methods:
It was a cross sectional study in which 400 cases coming to various skin disease clinics were included for confirmation of CL by microscopy, culture and PCR.
Results:
Out of 400 cases, 185 cases of ages from 1-14 years were diagnosed clinically and confirmed by Lab. Tests for CL. Both dry and wet types of lesions were observed that indicated presence of more than one strain of the parasite.
Conclusion:
Cutaneous Leishmaniasis was found to be significantly prevalent in children. The strains were found to be L. tropica and L. major as was indicated by the nature of lesions and confirmed by PCR.
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