Post-kala-azar dermal leishmaniasis
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Questions and Answers

What are the classic clinical features of symptomatic (active) kala-azar?

High fever, marked splenomegaly, hepatomegaly, and severe cachexia

What is the typical evolution of the illness in oligosymptomatic children with kala-azar?

Intermittent fever, weakness, loss of energy, and gradual spleen enlargement

What are the complications associated with the terminal stages of kala-azar?

Massive hepatosplenomegaly, profound pancytopenia, jaundice, edema, ascites, frequent bleeding episodes, secondary bacterial infections

What may be risk factors for the development and more rapid evolution of active visceral leishmaniasis?

<p>Younger age at the time of infection and underlying malnutrition</p> Signup and view all the answers

What is the definitive diagnosis method for Leishmaniasis?

<p>Demonstration of amastigotes in tissue specimens by direct microscopy or isolation of the organism by culture</p> Signup and view all the answers

What are the common treatments for Leishmaniasis?

<p>Pentavalent antimonies, Amphotericin B, Pentamidine isethionate, Paromomycin, Recombinant human interferon-γ, Miltefosine</p> Signup and view all the answers

What are the side effects associated with Pentavalent antimonies treatment?

<p>Fatigue, arthralgia, elevated liver enzymes, hematological manifestations, cardiac toxicity</p> Signup and view all the answers

What is the prevention method for Leishmaniasis?

<p>Avoiding exposure to sandflies by using insect repellent and mosquito netting, controlling infectious reservoir, treating patients</p> Signup and view all the answers

What are the common skin manifestations of post-kala-azar dermal leishmaniasis?

<p>Hypopigmented, erythematous, or nodular lesions commonly involving the face (around chin and nose) and trunk.</p> Signup and view all the answers

What is thought to be the cause of post-kala-azar dermal leishmaniasis?

<p>It is thought to be caused by the treatment and complete eradication of the parasite in the circulation, leading to its escape to the tissue and causing the skin reaction.</p> Signup and view all the answers

What are the differential diagnoses of Visceral Leishmaniasis according to the text?

<ol> <li>Malaria 2. Military tuberculosis 3. Brucellosis 4. Typhoid fever 5. Amebic liver abscess 6. Infectious mononucleosis 7. Lymphoma and leukemia 8. Schistosomiasis.</li> </ol> Signup and view all the answers

What are the laboratory investigations mentioned in the text for Visceral Leishmaniasis?

<p>I. CBC: pancytopenia (severe anemia, leucopenia, &amp; thrombocytopenia) II. LFT: Elevated liver enzymes. III. Serology: Indirect fluorescence assay or ELISA with recombinant antigen (K39).</p> Signup and view all the answers

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