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Sigdel et al
Greener Journal of Medical Sciences Vol. 2 (6), pp. 134-137, December 2012
ISSN: 2276-7797
Research Paper
Manuscript Number: 102712156
Otorhinolaryngological menifestations of Visceral Leishmaniasis
1B.Sigdel, 2S.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: brihassig@yahoo.com
Abstract:
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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