Clinical profile of Kala-azar in adults: as seen in Mymensingh Medical College Hospital, Mymensingh, Bangladesh

A total of eighty-one consecutive cases of Kala-azar admitted in all four medicine units of Mymensingh Medical College Hospital during the period from January 2002 to mid August 2002 were included in this study. The number of the patients clearly indicates that the burden of Kala-azar in this region...

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Bibliographic Details
Published inMymensingh medical journal : MMJ Vol. 12; no. 1; p. 41
Main Authors Sarker, C B, Chowdhury, K S, Siddiqui, N I, Jamal, M F, Rahman, S, Momen, A, Dhar, D K, Alam, K S
Format Journal Article
LanguageEnglish
Published Bangladesh 01.01.2003
Subjects
Adult
Age Distribution
Bangladesh - epidemiology
Female
Fever - etiology
Hepatomegaly - etiology
Humans
Leishmaniasis, Visceral - complications
Leishmaniasis, Visceral - diagnosis
Leishmaniasis, Visceral - epidemiology
Male
Sex Distribution
Socioeconomic Factors
Splenomegaly - etiology
Time
Bangladesh
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Summary:A total of eighty-one consecutive cases of Kala-azar admitted in all four medicine units of Mymensingh Medical College Hospital during the period from January 2002 to mid August 2002 were included in this study. The number of the patients clearly indicates that the burden of Kala-azar in this region is significant and expanding, which constituted 1.90% of total admission in all 4 medicine units during this period. Majority of the patients were of 20-29 years of age. Male to female ratio was 1.38:1. Maximum number of the patients were of poor socio-economic group with history of housing made up of mud and having close proximity with cattle house. Fever and splenomegaly (100%) were the predominant features. Hepatomegaly was found in 91.36% of the cases. Other clinical manifestations were weight loss (79.01%), normal or increased appetite (65.43%), generalized weakness (72.84%), pallor (69.13%), cough (25.92%), jaundice (17.28%), abdominal Pain (12.34%), hyperpigmentation (9.88%), ascites (4.94%) and bleeding manifestations (4.94%). Notable concomitant illnesses were urinary tract infection (7.40%), pulmonary tuberculosis (3.70%), malaria (1.23%), scabies (4.94%), heart failure (3.70%) and chronic liver disease (2.47%). Due to wide diversity of clinical presentations, clinical features of kala-azar should be evaluated in details which will pave the hidden cases into light.
ISSN:1022-4742