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The Quest for Understanding Cutaneous Leishmaniasis in Northern Province,Sri Lanka:An Analysis of Clinical Data From the District General Hospital,Vavuniya

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Infectious Microbes & Diseases 2023年第4期5卷 186-194页

作者： Rajadurai Arulenthiran Arumugam Murugananthan Kanchana P.Amarasinghe umashankar mathivathani Dermatology Unit National HospitalColomboSri Lanka Department of Parasitology Faculty of MedicineUniversity of JaffnaJaffnaSri Lanka Pathology Unit District General HospitalVavuniyaSri Lanka

The study aimed to examine the clinical and epidemiological patterns of cutaneous leishmaniasis(CL)in patients attending the Dermatology Unit,District General Hospital in Vavuniya,Sri Lanka.A total of 77 patients clinically suspected for CL were interviewed through a structured questionnaire,and skin-lesion samples were obtained between January 2016 and January *** definitive diagnosis of CL was made through microscopic identification of smears,histopathological examination of biopsies and kDNA *** modalities were chosen based on the location of the lesions on the body and complexity of the *** 77 suspected patients,68 were confirmed for CL,with a mean age of 34.6(±12.7)years,and included 54 males(79.4%)and 14 females(20.6%).Being a male was a significant risk factor(P=0.032,OR=4.82)associated with *** were observed mainly on the exposed areas of the body,of which the forearm(22.1%)was the most commonly affected *** lesions(75.0%)and ulcerated nodules with central crust(39.7%)were the prominent features among the infected *** age group of 21–40 years was significantly associated with healing lesions(P=0.028,marginal effect=0.55).However,a significant negative relationship was detected between ulcerated nodular lesions and lesion healing(P=0.0436,marginal effect=−0.375).Males are at higher risk of *** diagnosis and specific treatment,along with preventive measures such as protective clothing and sand fly repellents,can limit the spread of the *** is a need for a comprehensive approach to prevent and control the transmission of CL.

关键词： Leishmania donovani cutaneous leishmaniasis kDNA microscopy skin lesions Sri Lanka Northern Province

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