Volume 2, Issue 1, January 2014, Page: 5-9
Ultrasound Findings in Patients with Visceral Leishmaniasis
Elsafi Ahmed Abdalla, Radiology Department, College Of Medical Radiological Science, Sudan University Of Science And Technology, Khartoum, Sudan
Caroline Edward Ayad, Radiology Department, College Of Medical Radiological Science, Sudan University Of Science And Technology, Khartoum, Sudan
Adam Mohammed Fadl Ahmed, Ultrasound Department, Omdurman Tropical Disease Teaching Hospital, Omdurman, Sudan
Amel Saeed Abdelrahim ElGaddal, Radiology Department, College Of Medical Radiological Science, Sudan University Of Science And Technology, Khartoum, Sudan
Abdelmomeim Saeed, National College of Medical and Technical studies, Khartoum, Sudan
Received: Nov. 6, 2013;       Published: Feb. 20, 2014
DOI: 10.11648/j.ijmi.20140201.12      View  3705      Downloads  217
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.
Visceral Leishmaniasis, Ultrasound, Tropical Diseases
To cite this article
Elsafi Ahmed Abdalla, Caroline Edward Ayad, Adam Mohammed Fadl Ahmed, Amel Saeed Abdelrahim ElGaddal, Abdelmomeim Saeed, Ultrasound Findings in Patients with Visceral Leishmaniasis, International Journal of Medical Imaging. Vol. 2, No. 1, 2014, pp. 5-9. doi: 10.11648/j.ijmi.20140201.12
D. James William.; G..Berger Timothy; et al. Andrews' Diseases of the Skin: clinical Dermatology. Saunders Elsevier. 2006 ISBN 0-7216-2921-0
P. Desjeux "The increase of risk factors for leishmaniasis worldwide". Transactions of the Royal Society of Tropical Medicine and Hygiene 2001,95 (3): 239–43.
Leishmaniasis and HIV co-infection. WHO.
Jean, Francois "Sudan: Speak no Evil, Do no Good". Life, Death and Aid: the Médecins Sans Frontières Report on World Crisis Intervention. (1995).
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.
BL .Herwaldt. Leishmaniasis. Lancet; 1999, 354:1191–9.
JD .Berman. Human leishmaniasis: clinical, diagnostic, and chemotherapeutic developments in the last 10 years. Clin Infes Dis; 1997,16:251–5.
HW.Murray, Kala-azar—progress against a neglected disease. N Engl J Med; 2002,347:1793–4
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.
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
MW. Pantsan, TA.Coleman.Images in clinical medicine.Kala-azar. N Engl J Med; 2003,349:e13
D Cohen, S.Fields, CT findings in visceral leishmaniasis mimichking lymphoma. Comput Med Imaging Graph; 1988 ,12:325–7
SJ .Deutch, MA. Sandles, MB .Alpern..Abdominal lymphadenopathy in benign disease: CT detection. Radiology; 1987,163:335–8
S.H.M. Neave, , Leishmania donovani in Sudan Bri.Med J., 1904, 1:1252-1252
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
A.M.El-Hassan, and EE.Zijlstra, , Leshmaniasis in Sudan Transact R.Soc Trop.Med Hygiene, 2001,95:27-58
N.M.Abdalla,.Evaluation of Gene Targeted PCR and Molecular Hybridization used in Diagnosis of Human Leishmania Isolates Biotechnology ISSN 1682-296X ,2010
M Siddig, et al. Visceral leishmaniasis in the Sudan: Comparative parasitological methods of diagnosis. Trans R Soc Trop Med Hyg; 1988,82: 66 -8
WHO. Manual on visceral leishmaniasis control. WHO/Leis/96.40
www.resources.metapress,( 2009)
www.translate Google, (2009)
www.patient.com. (2009)
www.ijmm. org/Articles,( 2010)
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