ÚLCERAS CUTÁNEAS POR LEISHMANIASIS EN USUARIOS DEL CENTRO DE SALUD MATERNO INFANTIL ÁREA Nº8, EL CARMEN, MANABÍ, 2010 -2011

Abstract

Leishmaniasis is a parasitic disease spread by the bite of the sandfly. Tropical diseases on the Rise in Europe. A coat of many proteins may be this parasite is downfall. Wiping out a parasite, not a spirit of adventure. World briefing, Asia, India, treating “black fever”. Alternative names: Kala-azar. Causes: There are different forms of leishmaniasis. Cutaneous leishmaniasis affects the skin and mucus membranes. Skin sores usually start at the site of the sandfly bite. They can last for months or years before healing on their own. In a few people, sores may develop on mucus membranes. Systemic or visceral leishmaniasis affects the entire body. This form occurs 2-8 months after a person is bitten by the sandfly. Most people do not remember having a skin sore. This form can lead to deadly complications. The parasites damage the immune system by decreasing the numbers of disease-fighting cells. Cases of leishmaniasis have been reported on all continents except Australia and Antarctica. In the Americas, leishmaniasis can be found in Mexico and South America. Ecuador not is the exception. Cutaneous leishmaniasis affects the skin and some the mocus membranes. Symptoms may include: Skin sores, which may become a skin ulcer that heals very slowly. Ulcers and wearing away (erosion) in the mouth, tongue, gums, lips, nose, and inner nose. Stuffy nose, runny nose, and nosebleeds. Breathing difficulty. Swallowing difficulty. Sistemyc visceral infection in children usually begins suddenly with vomiting, diarrhea, fever, and cough. Adults usually have a fever for 2 weeks to 213 months, along with symptoms such as fatigue, weakness, and appetite loss. Weakness increases as the disease gets worse. A physical exam may show signs of an enlarged spleen, liver and lymp nodes. The patient may have been bitten by sandflies, or was in an area known for leishmaniasis. Tests that may be done to diagnose the condition include: Biopsy of the spleen and culture. Bone marrow biopsy and culture. Direct agglutination assay Indirect immunofluorescent antibody test. Lymph node biopsy and culture. Montenegro skin test. Skin biopsy. Other tests that may be done include: Complete blood count. Serum immunoglobulin levels. Serum protein. Serum albumin. Serologic testing. Medicines called antimony-containing compounds are the main drugs used to treat leishmaniasis. These include: Meglunineantimonate. Sodium stibogluconate. Other drugs that may be used include: Amphotericim B Fluconazole. Pentamidine. Plastic surgery may be needed to correct the disfigurement caused by sores on the face (cutaneous leishmaniasis). Patients with drug-resistant viral leishmaniasis may need to have their spleen removed (splenectomy)