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Published on: July 28, 2015
Blindness following visceral leishmaniasis: a neglected post-kala-azar complication
E A G Khalil1, A M Musa, B M Younis
1Department of Clinical Pathology & Immunology, Institute of Endemic Diseases, University of Khartoum, Khartoum, PO Box 45235, Sudan. eltahirk@iend.org
Abstract:
Visceral leishmaniasis (VL) is an important cause of morbidity and mortality that affects multiple organs. Post-kala-azar ocular involvement is a serious complication that can manifest as blepharo-conjuctivitis or pan-uveitis. Failure of prompt diagnosis and treatment can result in blindness. We report five cases with pan-uveitis that followed the successful treatment of VL and consequent post-kala-azar dermal leishmaniasis were presented. Two patients lost their sight permanently but the rest were successfully treated. A high index of suspicion and prompt treatment are of paramount importance in order to avoid blindness following post-kala-azar ocular uveitis.
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