A clinical study of cutaneous leishmaniasis in a new focus in the Kurdistan region, Iraq (original) (raw)
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Iraqi Journal of Science, 2021
Leishmaniasis diseases constitute an important public health problem in both tropical and subtropical areas. The aim of this study is to evaluate the epidemiological situation of cutaneous leishmaniasis (CL) in Babylon province, Iraq. The current work included the recording of 142 new cases of CL infection in Babylon province for the period from November 2019 to February 2020. Male infection was represented by 87 cases (61.27%), while females composed 55 samples (38.73%), with a significant difference (p<0.05) between the two groups. The age group of 5-14 years was found to have the highest recorded CL cases (56; 39.44%), while the age group of less than one year had the lowest cases (1; 0.70%), with the differences being significant at p<0.05. Al-Gazali location was found to include the highest recorded CL cases (29; 20.42%), whereas Kish location had the lowest cases (1; 0.70%). The dry type of CL lesions was represented in 112 cases (78.9%), while the wet type was repre...
EPIDEMIOLOGICAL STUDY Of CUTANEOUS LEISHMANIASIS IN KIRKUK PROVINCE, IRAQ
EPIDEMIOLOGICAL STUDY Of CUTANEOUS LEISHMANIASIS IN KIRKUK PROVINCE, IRA, 2020
Cutaneous leishmaniasis is one of the endemic parasitic diseases that cause health problems in Iraq, the present study was done on Cutaneous leishmaniasis epidemiological aspect in Kirkuk province and included 728 suspect infected persons from the beginning of October 2018 to the end of December 2019. The results of the current study showed that the percentage of infected males was (58.2%) higher than the percentage of infected females (41.8%), and it found the highest percentage of infected was found in age group (0-10) as it reached (47%) and the lowest percentage of infected was in the age group (51-60) (0.7%). The study also showed that the highest peak of infection was in February (24.5%) and the lowest infection rate was in July (0.7%). The geographical distribution of infected cases was referred to the highly rate of infected cases found in Hawija district (46.6%) and the lowest infection rate in Kirkuk district (14.2%). It was also found that the majority of ulcers in the affected people was single (53.8%), while the percentage of multiple ulcers in the affected people (46.2%), The incidence of skin disease leishmaniasis and location of ulcers in the body where the highest percentage found in the upper and lower extremities (21.3%) while the lowest infection rate in the neck, amounting to (0.7%). Smears were taken from lesions, air dried, fixed and Giemsa stained then microscopically examined for detection amastigote stage in Cutaneous leishmaniasis.
A Cutaneous Leishmaniasis, trends of the disease in Koya city, during 2015 to 2018
Journal of University of Raparin, 2019
Cutaneous leishmaniasis is not an endemic disease in the Kurdistan region of Iraq, particularly not in Erbil governorate and Koya city. Due to internal conflicts and immigration of people ( from Syria and other parts of Iraq) to the Kurdistan region, the disease has now been reported in koya city among internally displaced persons and military personnel (peshmarga) so, the present study aims to assess the prevalence rate of cutaneous lieshmaniasis in Koya city within 2015-2018. This descriptive-analytical study has been conducted on the victims of cutaneous leishmaniasis during previous years in health centers of Koya city, by extracting the demographic and epidemiologic information of study sample, recorded in Koya health centers, as well as analyzing this data into the patient’s age, gender, place of residence, ethnicity, infected body organ and infection season. The total incidence rate was reported 79 cases within 2015 to 2018 in which 71 (89.9%) were males and 8 (10.1%) we...
Cases of Cutaneous Leishmaniasis (CL) from 2019 To 2022 in Thi-Qar Province, Iraq
IAR Consortium, 2022
Cutaneous Leishmaniasis (CL) is a vector-borne disease transmitted by Phlebotomus and Lutzomyia sand flies. Annually, there are 1.5-2 million people are infected around the world. In Iraq, hundreds of cases are reported by public health around the country every year. Documentation data of CL in Thi-Qar province have been revealed from 2019 to the end of September 2022 and showed (520) CL reported cases. Total CL cases in males were 330 (63.46%), and in females, 190 (36.54%). Interestingly, data showed elevated cases of CL in rural compared to the urban region. The current study came to shed light on the prevalence of CL among both sexes. In addition to the distribution of cases in the different areas in the Thi-Qar province.
Epidemiological Study of Cutaneous Leishmaniasis in Marvdasht, Iran, 2017
2018
Background Cutaneous leishmaniasis (CL) remains a serious public health concern in some parts of Iraq. The aims of this study to report of CL in some parts of Iraq, by different parasitological, cultural, and molecular methods and evaluate sex differences among infected patients. This is the first study conducted to characterize Leishmania species causing CL among Iraqi patients using the sequence analysis of Internal Transcribed Spacer1(ITS1) at Wasit Province. Methods A total of 700 cases of suspected CL were referred to the Iraqi clinics and health centres and they checked for Leishmania amastigote using a Giemsa-stain; however, the Novy Macneal Nicolle (NNN) culture led to the growth of promastigotes in all samples, then the samples were examined using polymerase chain reaction (PCR) and restriction fragment length polymorphism (RFLP)-PCR methods. Results The present study indicated that the prevalence of CL as follow: AL-Diwaniyah 88(15.1%), Wasit 85 (14.5%), Najaf 79 (13.6%), Thi-Qar76 (13.1%), Basrah 67 (11.5%), Baghdad 65 (11.2%), Diyala 63(10.8%), and Salah-Edin province which recorded lower infection 60 (10.3%), and it appeared in 83.3% by using Giemsasmeared stain. The highest infection rate (100%) appeared using PCR while the lowest infection (68%) appeared by culture on NNN media. The present study was revealed that the highest infection (60%) was caused by L.major rather than L.tropica (40%). Our results showed that 368 (52.6%) of CL patients were had single lesion and 215 (30.7%) had multiple lesions, and the ulcerative wet type lesions were present in 49.6%, while the nodule dry type lesions were present in 33.7%. The overall prevalence of cutaneous leishmaniasis in the study area was very high (83.3%) having a statistically significant association with sex; males are more prone (56.4%) to CL as compared to females (43.6%). Epidemiological Study of Cutaneous Leishmaniasis in Some Iraqi Provinces e19 Conclusions A clear and reliable bias toward males exists in some tropical diseases, such as leishmaniasis. CL is a major health problem in Iraq and CL caused by many countries including Iraq. Health authorities should be aware of the fact that war and terrorist activities induce expansion of the disease and increase the incidence rate in the situation that access to medical treatment is not easy especially in poor conditions in leishmaniasis endemic areas.
Cutaneous Leishmaniasis in Syria: Clinical Features, Current Status and the Effects of War
Acta Dermato Venereologica, 2015
See also Commentary, p. 3-4 Cutaneous leishmaniasis (CL) is a worldwide disease caused by an infection with the protozoan parasite Leishmania transmitted via sand flies. It is endemic in many of the poorest countries of all continents. "Aleppo boil" is one of the recognised names given to this disease in the medical literature. Although CL used to be wellcontrolled and well-documented in Syria, its incidence has dramatically increased since the beginning of the war; however, there is lack of documentation. Here, we present the past and current epidemiological situation of the disease in Syria. We also draw attention to gross and highly unusual clinical variants of CL presented to the Department of Dermatology in Aleppo covering the important differential clinical diagnoses, since this disease is already known to mimic other conditions. Diagnostic procedures and treatment as well as prevention are summarised. Due to the increased ability to travel, and especially the flight of Syrians to neighbouring countries, as well as to Europe, CL may become a new threat in formerly unaffected regions. Through this account, we hope to give weight to the aspiration that CL does not remain a neglected and often clinically overlooked tropical dermatosis.
Acta Parasitologica, 2020
Objective The aim of this study was to evaluate the epidemiology, clinical presentation and types of treatment of cutaneous leishmaniasis (CL) in the province of Ilam (Western Iran) in 5 years (from May 2013 to January 2018). This cross-sectional study involved patients diagnosed with CL who were referred to Mehran City Health center. Methods All patients were diagnosed by clinical and parasitological (Giemsa staining of lesion to observe the parasite) methods. Moreover, a structured questionnaire on demographic data including age, sex, occupation, number and site of the lesions, treatment regimen was administered to each case. Results In total, 2001 positive CL cases were observed in this study. The highest prevalence of CL was reported in the autumn season and mainly among male subjects residing in urban communities. The prevalence of CL varied with the age group: higher in the age group of 1-10 years than other groups. Besides, hands and faces were the most affected regions of the body. Most of the cases (47.35%) were managed by topical treatment (glucantime) and cryotherapy followed by systemic treatment (pentavalent antimony) 26.85%. Conclusions The prevalence of disease varied with age, increasing the prevalence rate in children due to their habitats, the highest prevalence in autumn due to climatic conditions. These findings help to better discuss the prevention and treatment of infections.
Frontiers in Public Health
Background: Cutaneous leishmaniasis is one of the most important infectious diseases in eastern Mediterranean countries. The aim of this study was to determine the epidemiological pattern of cutaneous leishmaniasis across a 10-year period in the Hamadan province. This study was considered necessary due to the lack of new information in recent years on the epidemiology of the disease. Methods: This is a descriptive study. The data of patients who were diagnosed with cutaneous leishmaniasis in Hamadan health centers were collected during 10 years (2007-2016) and were analyzed using SPSS software. Results: Of the 908 registered patients, 94% were male and 6% were female. The mean age was 32.7 ± 11.8. About 87.1% of patients had a history of travel to endemic areas. The highest incidence rate was observed in the year 2015 with a rate of 12.6, and the lowest was in 2008 at 1.5 per 100,000 people. Conclusion: Due to an increasing trend in the number of cutaneous leishmaniasis in Hamadan and the effect of occupation, high-risk groups such as lorry drivers should be informed of preventive measures such as using insect repellents. Also, considering the possibility of shaping a new hotspot in the province, thorough reviews and more comprehensive entomological studies are recommended.