Assessment of Variation in Clinical Presentation of Visceral Leishmaniasis Among Patients Attending the Tropical Diseases Teaching Hospital in Sudan
Sudan j. med. sci
;
17(3): 348-360, 2022. tales, figures
Article
in English
| AIM
| ID: biblio-1398207
ABSTRACT
Background:
Visceral leishmaniasis (also known as Kala-azar) is a systemic parasitic infection with many clinical presentations. The present study assesses the variation in presentations among patients who attended the Tropical Diseases Teaching Hospital (TDTH) in Khartoum, Sudan.Methods:
This analytical cross-sectional, hospital-based study was conducted at the TDTH between November 2019 and September 2020. Medical records of patients who presented at the TDTH were reviewed using a structured data extraction checklist. The Chi-square test was used to determine the associations between sociodemographic and clinical presentations of patients. P-value < 0.05 was considered as statistically significant.Results:
Out of 195 patients, 79.5% were male and 48.2% were <31 years old. Fever was the main clinical presentation (90.2%) while 53.3% presented with weight loss and 72.3% and 39% presented, respectively, with splenomegaly and hepatomegaly. HIV was detected in 4.6% of the patients. RK39 was the main diagnostic test. We found a significant association between the abdominal distention and the age of the patients (P < 0.05) age groups 1120 and 4150 years were more likely to present with abdominal distention than other age groups.Conclusion:
There is no exact clinical presentation or routine laboratory findings that are pathognomonic for visceral leishmaniasis; therefore, it should be considered in the differential diagnosis of any patient with fever, weight loss, and abdominal distention, and among patients with HIV.
Fulltext
- https://knepublishing.com/index.php/SJMS/article/view/12110/19506
- https://indexmedicus.afro.who.int/iah/fulltext/Assessment of Variation in Clinical Presentation of Visceral Leishmaniasis Among Patients Attending the Tropical Diseases Teaching Hospital in Sudan.pdf
- https://fi-admin.bvsalud.org/document/view/r4tqc
Full text:
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Index:
AIM (Africa)
Main subject:
Hospitals, Teaching
/
Leishmaniasis, Visceral
Limits:
Humans
Country/Region as subject:
Africa
Language:
English
Journal:
Sudan j. med. sci
Year:
2022
Type:
Article
Institution/Affiliation country:
Assessment of Variation in Clinical Presentation of Visceral Leishmaniasis Among Patients Attending the Tropical Diseases Teaching Hospital in Suda/SD
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