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Ultrasound Findings in Patients with Visceral Leishmaniasis

Received: 6 November 2013     Published: 20 February 2014
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Abstract

Visceral leishmaniasis(VL) has been a major health burden on the Sudanese patients and to the health authorities in Sudan. Delay in diagnosis of VL leads to serious complications and eventually death. This study aimed to study the ultrasonographic findings of VL in Sudanese patients.50 Sudanese patients who were clinically diagnosed as VL, attended to Ultrasound Department and were scanned for abdomen. Subject’s ages, duration of the disease, liver, spleen, lymph nodes, portal vein and inferior vena cava (IVC) diameter, presence of asites and plural effusion, echogenicity of kidneys and pancreas were evaluated. VL affected the age group 15 – 30 years in 20 patients (40%) constituting the high incidence and it was less common in age group <15 years (10%).The diseases was common in males (76%) than females (24%) with a ratio of (3.6: 1). The Eastern states constituted the high incidence of the diseases among the other states 27 (54.0%), and Khartoum State constituted the lower incidence 1(2%). Splenomegally, hepatomegally, lymphadenopathy were the most common ultrasound findings. Portal vein, IVC dilatations were less common and were significantly affected with duration of diseases at p value ˂0.0001. VL associated with asites and plural effusion was found in the sample and has statistically significant relation at p value˂ 0.02. Ultrasound detected changes in kidneys and pancreases echogenecity with prolonged disease duration. Ultrasonography has the capability of diagnosis of VL and by using ultrasound complications could be diagnosed earlier and treated before damaging the spleen, liver, lymph nodes or death to occur.

Published in International Journal of Medical Imaging (Volume 2, Issue 1)
DOI 10.11648/j.ijmi.20140201.12
Page(s) 5-9
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2014. Published by Science Publishing Group

Keywords

Visceral Leishmaniasis, Ultrasound, Tropical Diseases

References
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[3] Leishmaniasis and HIV co-infection. WHO.
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[5] PJ. Guerin, P. Olliaro, S .Sundar, et al,. Visceral leishamniasis: current status of control, diagnosis, and treatment, and a proposed research and development agenda. Lancet lnfect Dis; 2002, 2:494–501.
[6] BL .Herwaldt. Leishmaniasis. Lancet; 1999, 354:1191–9.
[7] JD .Berman. Human leishmaniasis: clinical, diagnostic, and chemotherapeutic developments in the last 10 years. Clin Infes Dis; 1997,16:251–5.
[8] HW.Murray, Kala-azar—progress against a neglected disease. N Engl J Med; 2002,347:1793–4
[9] C. Granert, G .Elinder, A .Ost, JI.Henter.Kala-azar in a one year-old Swedish child. Diagnostic difficulties because of active hemophagocytosis. Acta Paediatr; 1993,82:794–6.
[10] Y .Bu¨yu¨kas¸ik, NS. Ileri ¸ , IC. Haznedarog˘lu, H Demirog˘lu, S .Du¨ndar.,Fever hepatosplenomegaly, pancytopenia in a patient living in the Mediterreanean region. Postgrad Med J; 1998 ,74:237–41
[11] MW. Pantsan, TA.Coleman.Images in clinical medicine.Kala-azar. N Engl J Med; 2003,349:e13
[12] D Cohen, S.Fields, CT findings in visceral leishmaniasis mimichking lymphoma. Comput Med Imaging Graph; 1988 ,12:325–7
[13] SJ .Deutch, MA. Sandles, MB .Alpern..Abdominal lymphadenopathy in benign disease: CT detection. Radiology; 1987,163:335–8
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[15] R Kirk,. M.H.Sati,.Studies in Leshmaniasis in Anglo-Egyptain Sudan 11 The skin and lymph glands in Kala-azar.Trans.R.Soc.Trop Med Hygine, 1940,33:501-506
[16] A.M.El-Hassan, and EE.Zijlstra, , Leshmaniasis in Sudan Transact R.Soc Trop.Med Hygiene, 2001,95:27-58
[17] N.M.Abdalla,.Evaluation of Gene Targeted PCR and Molecular Hybridization used in Diagnosis of Human Leishmania Isolates Biotechnology ISSN 1682-296X ,2010
[18] M Siddig, et al. Visceral leishmaniasis in the Sudan: Comparative parasitological methods of diagnosis. Trans R Soc Trop Med Hyg; 1988,82: 66 -8
[19] WHO. Manual on visceral leishmaniasis control. WHO/Leis/96.40
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Cite This Article
  • APA Style

    Elsafi Ahmed Abdalla, Caroline Edward Ayad, Adam Mohammed Fadl Ahmed, Amel Saeed Abdelrahim ElGaddal, Abdelmomeim Saeed. (2014). Ultrasound Findings in Patients with Visceral Leishmaniasis. International Journal of Medical Imaging, 2(1), 5-9. https://doi.org/10.11648/j.ijmi.20140201.12

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    ACS Style

    Elsafi Ahmed Abdalla; Caroline Edward Ayad; Adam Mohammed Fadl Ahmed; Amel Saeed Abdelrahim ElGaddal; Abdelmomeim Saeed. Ultrasound Findings in Patients with Visceral Leishmaniasis. Int. J. Med. Imaging 2014, 2(1), 5-9. doi: 10.11648/j.ijmi.20140201.12

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    AMA Style

    Elsafi Ahmed Abdalla, Caroline Edward Ayad, Adam Mohammed Fadl Ahmed, Amel Saeed Abdelrahim ElGaddal, Abdelmomeim Saeed. Ultrasound Findings in Patients with Visceral Leishmaniasis. Int J Med Imaging. 2014;2(1):5-9. doi: 10.11648/j.ijmi.20140201.12

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  • @article{10.11648/j.ijmi.20140201.12,
      author = {Elsafi Ahmed Abdalla and Caroline Edward Ayad and Adam Mohammed Fadl Ahmed and Amel Saeed Abdelrahim ElGaddal and Abdelmomeim Saeed},
      title = {Ultrasound Findings in Patients with Visceral Leishmaniasis},
      journal = {International Journal of Medical Imaging},
      volume = {2},
      number = {1},
      pages = {5-9},
      doi = {10.11648/j.ijmi.20140201.12},
      url = {https://doi.org/10.11648/j.ijmi.20140201.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmi.20140201.12},
      abstract = {Visceral leishmaniasis(VL) has been a major health burden on the Sudanese patients and to the health authorities in Sudan. Delay in diagnosis of VL leads to serious complications and eventually death. This study aimed to study the ultrasonographic findings of VL in Sudanese patients.50 Sudanese patients who were clinically diagnosed as VL, attended to Ultrasound Department and were scanned for abdomen. Subject’s ages, duration of the disease, liver, spleen, lymph nodes, portal vein and inferior vena cava (IVC) diameter, presence of asites and plural effusion, echogenicity of kidneys and pancreas were evaluated. VL affected the age group 15 – 30 years in 20 patients (40%) constituting the high incidence and it was less common in age group <15 years (10%).The diseases was common in males (76%) than females (24%) with a ratio of (3.6: 1). The Eastern states constituted the high incidence of the diseases among the other states 27 (54.0%), and Khartoum State constituted the lower incidence 1(2%). Splenomegally, hepatomegally, lymphadenopathy were the most common ultrasound findings. Portal vein, IVC dilatations were less common and were significantly affected with duration of diseases at p value ˂0.0001. VL associated with asites and plural effusion was found in the sample and has statistically significant relation at p value˂ 0.02. Ultrasound detected changes in kidneys and pancreases echogenecity with prolonged disease duration. Ultrasonography has the capability of diagnosis of VL and by using ultrasound complications could be diagnosed earlier and treated before damaging the spleen, liver, lymph nodes or death to occur.},
     year = {2014}
    }
    

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  • TY  - JOUR
    T1  - Ultrasound Findings in Patients with Visceral Leishmaniasis
    AU  - Elsafi Ahmed Abdalla
    AU  - Caroline Edward Ayad
    AU  - Adam Mohammed Fadl Ahmed
    AU  - Amel Saeed Abdelrahim ElGaddal
    AU  - Abdelmomeim Saeed
    Y1  - 2014/02/20
    PY  - 2014
    N1  - https://doi.org/10.11648/j.ijmi.20140201.12
    DO  - 10.11648/j.ijmi.20140201.12
    T2  - International Journal of Medical Imaging
    JF  - International Journal of Medical Imaging
    JO  - International Journal of Medical Imaging
    SP  - 5
    EP  - 9
    PB  - Science Publishing Group
    SN  - 2330-832X
    UR  - https://doi.org/10.11648/j.ijmi.20140201.12
    AB  - Visceral leishmaniasis(VL) has been a major health burden on the Sudanese patients and to the health authorities in Sudan. Delay in diagnosis of VL leads to serious complications and eventually death. This study aimed to study the ultrasonographic findings of VL in Sudanese patients.50 Sudanese patients who were clinically diagnosed as VL, attended to Ultrasound Department and were scanned for abdomen. Subject’s ages, duration of the disease, liver, spleen, lymph nodes, portal vein and inferior vena cava (IVC) diameter, presence of asites and plural effusion, echogenicity of kidneys and pancreas were evaluated. VL affected the age group 15 – 30 years in 20 patients (40%) constituting the high incidence and it was less common in age group <15 years (10%).The diseases was common in males (76%) than females (24%) with a ratio of (3.6: 1). The Eastern states constituted the high incidence of the diseases among the other states 27 (54.0%), and Khartoum State constituted the lower incidence 1(2%). Splenomegally, hepatomegally, lymphadenopathy were the most common ultrasound findings. Portal vein, IVC dilatations were less common and were significantly affected with duration of diseases at p value ˂0.0001. VL associated with asites and plural effusion was found in the sample and has statistically significant relation at p value˂ 0.02. Ultrasound detected changes in kidneys and pancreases echogenecity with prolonged disease duration. Ultrasonography has the capability of diagnosis of VL and by using ultrasound complications could be diagnosed earlier and treated before damaging the spleen, liver, lymph nodes or death to occur.
    VL  - 2
    IS  - 1
    ER  - 

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Author Information
  • Radiology Department, College Of Medical Radiological Science, Sudan University Of Science And Technology, Khartoum, Sudan

  • Radiology Department, College Of Medical Radiological Science, Sudan University Of Science And Technology, Khartoum, Sudan

  • Ultrasound Department, Omdurman Tropical Disease Teaching Hospital, Omdurman, Sudan

  • Radiology Department, College Of Medical Radiological Science, Sudan University Of Science And Technology, Khartoum, Sudan

  • National College of Medical and Technical studies, Khartoum, Sudan

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