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Sigdel et al

Greener Journal of  Medical Sciences Vol. 2 (6), pp. 134-137, December 2012

 ISSN: 2276-7797 © 2011 Greener Journals

Research Paper

Manuscript Number: 102712156


Otorhinolaryngological menifestations of Visceral Leishmaniasis


1B.Sigdel2S.Bhandary, 3S.Rijal, 4A.Ghimire


1Department of ENT,Gandaki Medical College, Pokhara, Nepal

2  Department of ENT

 3 Department of Internal Medicine, BP.Koirala Institute of Health ,Dharan,Nepal

4 Department of ENT, Chitwan Medical College ,Bharatpur, Nepal


Corresponding Author’s Email:


Background: Leishmaniasis is vector borne disease caused by protozoa.Visceral Leishmaniasis is a major public health problem in Nepal. Different manifestations in otorhinolaryngology includes nasal bleeding, granulomatous mass mucosal ulceration in oral cavity. polypoidal growth in larynx, chronic non- healing painless ulcer, nodule , sensorineural deafness .
Methods: This is a prospective cross sectional study where eighty diagnosed cases of leishmaniasis were included from January 2007 to January 2008. Diagnosis was made by Rk-39 from peripheral smear & LD bodies from bone marrow. Before starting anti –kalaazar treatment, ENT examination and Pure tone audiometry (Amplaid 460, Italian machine) was done and finding noted. 
Results: Visceral leismaniasis occur from age 4 yr to 70 yr. Otolaryngological manifestations found in 47 % of cases. Among them epistaxis was observed in 19 (24%) cases. Hearing loss had 8 (10%) of cases. Laryngeal Leishmaniasis was seen in one patient. Mortality was seen in one patient. 
Conclusion: Otolaryngological manifestation of Visceral Leishmaniasis is not uncommon in the patients belonging to endemic area like ours. Epistaxis & hearing loss are common. 

KEY WORDS: Epistaxis, Hearing loss, Visceral Leismaniasis.

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