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Epistaxis in visceral leishmaniasis with hematological correlation
B Sigdel1, S Bhandary, S Rijal
1Department of Otorhinolaryngology and Head and Neck Surgery, Gandaki Medical College, Pokhara, Nepal.
International Journal of Otolaryngology
|January 25, 2012
Summary
Epistaxis, or nosebleeds, is a common finding in visceral leishmaniasis patients. This study found a significant prevalence of nosebleeds in individuals with this parasitic infection.
Area of Science:
- Infectious Diseases
- Hematology
- Otolaryngology
Background:
- Visceral leishmaniasis is a serious parasitic disease.
- Epistaxis can be a symptom of various underlying conditions.
Purpose of the Study:
- To determine the prevalence of epistaxis in visceral leishmaniasis patients.
- To explore the correlation between epistaxis and hematological profiles in these patients.
Main Methods:
- Prospective cross-sectional hospital-based study.
- Diagnosis of visceral leishmaniasis confirmed by Rk-39 and LD bodies in bone marrow.
- Nasal examination and hematological profiles assessed before treatment.
Main Results:
- Epistaxis was observed in 19 out of 80 (23.8%) diagnosed visceral leishmaniasis cases.
- Affected age group ranged from 7 to 66 years.
- One patient experienced fatal epistaxis complicated by a neck hematoma.
Conclusions:
- Epistaxis is a frequent otolaryngological manifestation in visceral leishmaniasis.
- This finding is particularly relevant in areas endemic for the disease.
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