Document Detail

Autochthonous visceral leishmaniasis: a report of a second case in Thailand.
MedLine Citation:
PMID:  17539239     Owner:  NLM     Status:  MEDLINE    
Visceral leishmaniasis (VL) is a rare disease in Thailand. Only one previous case has been reported in which transmission was likely autochthonous. We conducted an investigation of a case of VL, which included serological and symptom surveys of people who lived near the case in Nan Province and Bangkok, serological surveys of domestic animals in his home village and sand fly surveys in his home village and in Bangkok. No humans interviewed met our case definition for possible VL. One hundred thirty-one villagers were seronegative for Leishmania antibodies. We found three cows and one cat that had positive direct agglutination tests for Leishmania spp, but we were unable to confirm current infection by PCR. Sand fly surveys showed that most of the flies were of the Sergentomyia genus, which has not previously been reported as a competent vector in Thailand. Nonetheless, we conclude, based on the patient's lack of travel outside Thailand and the presence of seropositive domestic animals in his home village, that he was most likely infected by the bite of a sand fly in Thailand. We believe this is the second case of autochthonously transmitted VL in Thailand.
W Kongkaew; P Siriarayaporn; S Leelayoova; K Supparatpinyo; D Areechokchai; P Duang-ngern; K Chanachai; T Sukmee; Y Samung; P Sridurongkathum
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Southeast Asian journal of tropical medicine and public health     Volume:  38     ISSN:  0125-1562     ISO Abbreviation:  Southeast Asian J. Trop. Med. Public Health     Publication Date:  2007 Jan 
Date Detail:
Created Date:  2007-06-01     Completed Date:  2007-08-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0266303     Medline TA:  Southeast Asian J Trop Med Public Health     Country:  Thailand    
Other Details:
Languages:  eng     Pagination:  8-12     Citation Subset:  IM    
Field Epidemiology Training Program, Ministry of Public Health, Nonthaburi, Thailand.
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MeSH Terms
Insect Bites and Stings / parasitology
Leishmania donovani / parasitology
Leishmaniasis, Visceral / diagnosis,  immunology,  transmission*
Rare Diseases

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