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cut leishmanisis(DR SAMIULLAH KHALIL)

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Sami Khalil
Sami Khalil

This document describes a case study of a 25-year-old male patient presenting with a non-healing ulcerated plaque on his right elbow for 2 months. The patient has a history of diabetes, hypertension, asthma, and tuberculosis. Laboratory tests found the patient was positive for Leishmania tropica. The patient was started on intralesional meglumine antimoniate treatment twice weekly for 12 weeks to treat his cutaneous leishmaniasis infection.

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cut leishmanisis(DR SAMIULLAH KHALIL)
Dr Sami Ullah khalil
Name: XYZ Age: 25 Years Gender: Male Rank: Sep Deployment: Miran shah
Present History Non healing ulcerated plaque on elbow (Rt) 2 months
cut leishmanisis(DR SAMIULLAH KHALIL)
IHD Diabetes Hypertension Asthma Tuberculosis
Pallor: Nil Cyanosis: Nil Jaundice: Nil Edema: Nil Clubbing: Nil Lymph Nodes: Not palpable
Temp: 98.4 F Pulse: 89 /Regular BP: 110/80 mmHg Resp: 16 /Minute
GIT: NAD CVS: NAD CNS: NAD Respiratory System: NAD
cut leishmanisis(DR SAMIULLAH KHALIL)
Smear for LT Bodies .. +ve
Patient counseled. Consent for treatment taken. Patient started on intralesional meglumine antimoniate twice weekly x 12 weeks.
cut leishmanisis(DR SAMIULLAH KHALIL)
cut leishmanisis(DR SAMIULLAH KHALIL)
CAPT JAMES DONOVAN WILLIAM LEISHMAN
Leishmaniasis Cutaneous Mucocutaneous Visceral
Group of diseases caused by infection with one of the protozoan parasites of the genus Leishmania Designated one of the five most important preventable diseases worldwide by the World Health Organization
Affects people in 88 countries of the world Has a global prevalence of 12 million with additional 350 million at risk Annual incidence of 1.52 million
cut leishmanisis(DR SAMIULLAH KHALIL)
Cut Leishmaniasis is endemic mainly in Baluchistan, Interior Sind and Rural areas of Punjab. Cut Leishmaniasis due to L tropica has the widest distribution; occurring in urban areas of Punjab and Baluchistan, Northern areas, and Azad Kashmir Increasingly reported from towns of KPK, FATA and Baluchistan
cut leishmanisis(DR SAMIULLAH KHALIL)
cut leishmanisis(DR SAMIULLAH KHALIL)
RODENTS Tropical & subtropical china, India, Asia, Africa, Mediterranean, & Central America
DOMESTIC DOG Mediterranean, southern Russia, Afghanistan, India & Pakistan
VECTOR (Sand Fly)
cut leishmanisis(DR SAMIULLAH KHALIL)
cut leishmanisis(DR SAMIULLAH KHALIL)
cut leishmanisis(DR SAMIULLAH KHALIL)
1-HISTORY OF ENDEMIC AREA 2-MORPHOLOGY OF THE LESION 3- CLINICAL CHARACTERISTICS
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cut leishmanisis(DR SAMIULLAH KHALIL)
cut leishmanisis(DR SAMIULLAH KHALIL)
cut leishmanisis(DR SAMIULLAH KHALIL)
cut leishmanisis(DR SAMIULLAH KHALIL)
cut leishmanisis(DR SAMIULLAH KHALIL)
cut leishmanisis(DR SAMIULLAH KHALIL)
cut leishmanisis(DR SAMIULLAH KHALIL)
cut leishmanisis(DR SAMIULLAH KHALIL)
cut leishmanisis(DR SAMIULLAH KHALIL)
cut leishmanisis(DR SAMIULLAH KHALIL)
cut leishmanisis(DR SAMIULLAH KHALIL)
cut leishmanisis(DR SAMIULLAH KHALIL)
cut leishmanisis(DR SAMIULLAH KHALIL)
cut leishmanisis(DR SAMIULLAH KHALIL)
cut leishmanisis(DR SAMIULLAH KHALIL)
cut leishmanisis(DR SAMIULLAH KHALIL)
cut leishmanisis(DR SAMIULLAH KHALIL)
cut leishmanisis(DR SAMIULLAH KHALIL)
cut leishmanisis(DR SAMIULLAH KHALIL)
SLIT SKIN SMEAR BIOPSY NNN CULTURE PCR Kinetoplast minicircle DNA
cut leishmanisis(DR SAMIULLAH KHALIL)
ELISA for circulating antibodies Leishmanin Skin Test Montenegro
Pentavalent Antimonials Na stibogluconate & Meglumine antimoniate 1. Intra lesional 2. Systemic
cut leishmanisis(DR SAMIULLAH KHALIL)
cut leishmanisis(DR SAMIULLAH KHALIL)
cut leishmanisis(DR SAMIULLAH KHALIL)
cut leishmanisis(DR SAMIULLAH KHALIL)
Jlkjkljk Jhjkj Kl;kl; Jlkjkljk Jhjkj Kl;kl;
cut leishmanisis(DR SAMIULLAH KHALIL)
Freezing Local heat Oral Itraconazol Topical amphotericin Topical aminoglycoside antibiotics Paromomycin is sometimes effective Allopurinol Oral Miltefosine
Timings dawn and dusk Full sleeves Use repellant lotion and repeat after 4 hours Use nets if sleeping outdoors
Cutaneous Leishmaniasis has become a huge public health problem. Cutaneous Leishmaniasis is a preventable disease Med professionals working at various levels must be able to recognize and manage the disease Cost-containment in med care demands accurate diagnosis made without undue delay
cut leishmanisis(DR SAMIULLAH KHALIL)
cut leishmanisis(DR SAMIULLAH KHALIL)

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cut leishmanisis(DR SAMIULLAH KHALIL)

  • 2. Dr Sami Ullah khalil
  • 3. Name: XYZ Age: 25 Years Gender: Male Rank: Sep Deployment: Miran shah
  • 4. Present History Non healing ulcerated plaque on elbow (Rt) 2 months
  • 6. IHD Diabetes Hypertension Asthma Tuberculosis
  • 7. Pallor: Nil Cyanosis: Nil Jaundice: Nil Edema: Nil Clubbing: Nil Lymph Nodes: Not palpable
  • 8. Temp: 98.4 F Pulse: 89 /Regular BP: 110/80 mmHg Resp: 16 /Minute
  • 9. GIT: NAD CVS: NAD CNS: NAD Respiratory System: NAD
  • 11. Smear for LT Bodies .. +ve
  • 12. Patient counseled. Consent for treatment taken. Patient started on intralesional meglumine antimoniate twice weekly x 12 weeks.
  • 15. CAPT JAMES DONOVAN WILLIAM LEISHMAN
  • 16. Leishmaniasis Cutaneous Mucocutaneous Visceral
  • 17. Group of diseases caused by infection with one of the protozoan parasites of the genus Leishmania Designated one of the five most important preventable diseases worldwide by the World Health Organization
  • 18. Affects people in 88 countries of the world Has a global prevalence of 12 million with additional 350 million at risk Annual incidence of 1.52 million
  • 20. Cut Leishmaniasis is endemic mainly in Baluchistan, Interior Sind and Rural areas of Punjab. Cut Leishmaniasis due to L tropica has the widest distribution; occurring in urban areas of Punjab and Baluchistan, Northern areas, and Azad Kashmir Increasingly reported from towns of KPK, FATA and Baluchistan
  • 23. RODENTS Tropical & subtropical china, India, Asia, Africa, Mediterranean, & Central America
  • 24. DOMESTIC DOG Mediterranean, southern Russia, Afghanistan, India & Pakistan
  • 29. 1-HISTORY OF ENDEMIC AREA 2-MORPHOLOGY OF THE LESION 3- CLINICAL CHARACTERISTICS
  • 50. SLIT SKIN SMEAR BIOPSY NNN CULTURE PCR Kinetoplast minicircle DNA
  • 52. ELISA for circulating antibodies Leishmanin Skin Test Montenegro
  • 53. Pentavalent Antimonials Na stibogluconate & Meglumine antimoniate 1. Intra lesional 2. Systemic
  • 58. Jlkjkljk Jhjkj Kl;kl; Jlkjkljk Jhjkj Kl;kl;
  • 60. Freezing Local heat Oral Itraconazol Topical amphotericin Topical aminoglycoside antibiotics Paromomycin is sometimes effective Allopurinol Oral Miltefosine
  • 61. Timings dawn and dusk Full sleeves Use repellant lotion and repeat after 4 hours Use nets if sleeping outdoors
  • 62. Cutaneous Leishmaniasis has become a huge public health problem. Cutaneous Leishmaniasis is a preventable disease Med professionals working at various levels must be able to recognize and manage the disease Cost-containment in med care demands accurate diagnosis made without undue delay