Journal Article

Clinical and laboratory study of Kala-azar in children in Nepal

K Singh, R Singh, SC Parija, MMA Faridi and N Bhatta

in Journal of Tropical Pediatrics

Volume 45, issue 2, pages 95-97
Published in print April 1999 | ISSN: 0142-6338
Published online April 1999 | e-ISSN: 1465-3664 | DOI: http://dx.doi.org/10.1093/tropej/45.2.95
Clinical and laboratory study of Kala-azar in children in Nepal

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Reports are scanty regarding kala-azar in children in Nepal. In this communication we document 20 children diagnosed to have kala-azar who were admitted and treated at B. P. Koirala Institute of Health Sciences, Dharan, Nepal. The children were between 2 and 14 years old. The duration of illness varied between 12 days and 24 months with a majority (65 per cent) of children being ill for less than 6 months. Hepatomegaly and splenomegaly were seen in 95 and 90 per cent of cases respectively. Splenomegaly was not found in two (10 per cent) children. Anaemia, leucopenia, and thrombocytopenia were seen in 95, 60, and 75 per cent of children respectively. Amastigotes of Leishmania donovani (LD bodies) were demonstrated in Giemsa-stained smears of bone marrow aspirates in 16 (80 per cent) children. All the children responded to treatment with sodium stibogluconate. No mortality was observed. This study emphasizes the importance of kala-azar in children in endemic areas of eastern Nepal.

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Subjects: Paediatrics ; Antitrust Issues and Policies

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