Enteric fever(l) and Kala-azar (vis-ceral leishmaniasis) are endemic, in and around Patna. Kala-azar usually has an indolent course but it can present as an acute disease with fever, anorexia and vomiting(2,3). At times both the diseases are so closely similar in their presentation , that differential diagnosis is not always clear, Widal test, inspite of its limitations and fallacies is still w...

Post-kala-azar dermal leishmaniasis (PKDL) occurs after kala-azar treatment and acts as a durable infection reservoir. On the basis of active case finding among 22,699 respondents, 813 (3.6%) had had kala-azar since 2002, of whom 79 (9.7%) developed PKDL. Eight additional patients with PKDL had no history of kala-azar. Annual kala-azar incidence peaked at 85 cases per 10,000 person-years in 200...

BACKGROUND Visceral Leishmaniasis, commonly known as kala-azar, is widely prevalent in Bihar. The National Kala-azar Control Program has applied house-to-house survey approach several times for estimating Kala-azar incidence in the past. However, this approach includes huge logistics and operational cost, as occurrence of kala-azar is clustered in nature. The present study aims to compare effic...

Malaria complicating kala-azar That malaria may complicate kala-azar was recognized by the early workers on kala-azar in this country. Napier (1927) remarked that plasmodial and leishmanial infection must copyist in t.^e same r^fip-nt verv froouent.lv. but the occasions on which both parasites would be found in the same film of either peripheral blood or spleen puncture material were few. Malar...

The preliminary results of treatment of 50 cases of kala-azar and 2 cases of post-kala-azar dermal leishmaniasis were reported by the writers (Sen Gupta and Chakravarty, 1945) last year. Of the 50 cases of kala-azar treated, two died during treatment and 48 were discharged as clinically cured. The immediate results of this trial were quite satisfactory, the immediate cure rate being about 96 pe...

Kala-azar has re-emerged from near eradication. The annual estimate for the incidence and prevalence of kala-azar cases worldwide is 0.5 million and 2.5 million, respectively. Of these, 90% of the confirmed cases occur in India, Nepal, Bangladesh and Sudan. In India, it is a serious problem in Bihar, West Bengal and eastern Uttar Pradesh where there is under-reporting of kala-azar and post kala...

BACKGROUND & OBJECTIVE Definitive diagnosis of kala-azar requires demonstration of parasites by diagnostic protocols based on invasive organ aspirations. We evaluated in the present study the diagnostic utility of an immunochromatographic test (ICT) for detection of anti- rK-39 antibodies for the non-invasive diagnosis of kala-azar and post kala-azar dermal leishmaniasis (PKDL) at a tertiary ca...

BACKGROUND Visceral leishmaniasis, commonly known as kala-azar in India, is a global public health problem. In Southeast Asia, Bangladesh, Bhutan, India, Nepal, Sri Lanka and Thailand are endemic for visceral leishmaniasis. The role of sandflies as the vector of kala-azar was first confirmed in 1942 in India. Insecticide resistance in Phlebotomus argentipes Annandale and Brunetti, the vector of...

Our experience with kala-azar among children is limited to that of two proviryces of North China, Hopei and Slantung, and covers the years 1921 to 1930 inclusive. The cases admitted to our service entered through our regular clinic in the city, as we have not attempted to handle these cases in the outlying endemic village districts. We recently had in the clinic at one time a case of chronic ma...