Superadded infections in patients with visceral leishmaniasis refered to Khartoum State .


Research type: Research Paper

Authors: El Khalifa, Masaud Eshag .

Abstract: This is a prospective study of 100 patients with visceral leishmaniasis who were admitted to the medical words in Omdurman tropical disease. Hosoital, Soba University Hospital, Khartoum Teaching Hospital and Omdurman Military Hospital, Khatoum State during the period-february 1996 to february 1997, to determine the pattern and icidence of superadded infections complicating viseral leishmaniasis in Sudanese patients. The study population comprised patients with visceral leishmaniais of both sexes above 15 years of age, and included, medical history, thorough medical examination and laboratory as well as radiological examination. Cough (64 percent) diarrhoea (37 percent), skin rash (16 percent) and jaundice (8 percent) were frequent presenting symptoms among patients with visceral leishmaniasis. Pyrexia and splenomegally were the constant signs (100 percent), and leucopenia (80 percent), and raised ESR above 60mm/Ih (92 percent), were the commonest laboratory findings. Skin fungal infections (10 percent), were the commonest superadded infectious complication, followed by infective diarrhoea, encountered in 9 patients (9 percent). Although cough is common, respiratory complications due cosuperadded infections were found in 5 patients only (5 percent), 2 of them presented with labor pneumonia and the other 3 with pulmonary tubrculosis. HIV co-infection was found in very small percent (1percent). Patients with visceral lishmaniasis are immunocompromised, and complications due to superadded infections are common, therefore these complications should be thought of early and treated to avoid prolonged stay in hospital and delay in initiation of the specific treatment of kala-azar..