寄生虫病利什曼病的流行病学和临床特征。巴基斯坦病例研究

Muhaibullah khan , Sheraz Ahmad , Hamayun saeed , M. Junaid Akhtar , Amna Munir
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摘要

利什曼病是一种由昆虫寄生的寄生虫病,对 99 个国家的社会和医疗团队构成巨大威胁,其病例在巴基斯坦呈上升趋势。本研究在巴基斯坦进行,目的是展示皮肤利什曼病的地理分布、临床特征和风险因素。在巴基斯坦的四个省份中,共有(n=26590)人被确认患有皮肤利什曼病,其中开伯尔巴图克瓦省报告的病例占 43.88%(n=11670),是所有省份中比例最高的,而俾路支省报告的病例占 33.31%(n=8858)。此外,信德省报告的病例占 9.91%,阿扎德和果酱克什米尔报告的病例占 7.06%(约 1878 例),邦贾巴报告的病例占 5.82%(约 1548 例),属于比例最低的省份。开伯尔-普赫图赫瓦处于温和季节,有利于原生动物寄生虫传播疾病。我们收集了受感染病人的皮肤碎片进行显微镜检查,并采集了血液样本进行 PCR 检测。大多数受感染的患者来自农村地区,这些地区被沙蝇叮咬的几率更大。这项研究的目的是报告受感染的地区,并提高人们对这种疾病传播的认识。
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Epidemiology and clinical features of parasitic disease Leishmaniasis. A case study from Pakistan

An insect born disease termed as leishmaniasis is a type of parasitic disease which is becoming a great threat for social as well as medical team of more than 99 countries and its cases are increasing in Pakistan. The present study was conducted in Pakistan and its purpose was to demonstrate the geographical distribution as well as clinical features and risk factors of cutaneous leishmaniasis. Total (n=26590) were identified with cutaneous leishmaniasis from the four provinces of Pakistan from which 43.88 %(n=11670) of cases reported from Khyber Pakhtunkhwa which is highest among all the provinces whereas 33.31 %(n=8858) of cases reported from Balochistan. Additionally, 9.91 % of cases reported from province Sindh meanwhile 7.06 %(n=1878) of cases reported from Azad and jamu Kashmir and 5.82 % (n=1548) percent cases were reported from punjab which is among the lowest. Khyber Pakhtunkhwa is in a moderate season, and it favors protozoan’s parasite to spread the disease. The infected patients’ skin scraps were collected for microscopic examination and blood samples were taken for PCR. Most of the infected patients are from rural areas where the chances of biting sand fly were greater in these areas. The purpose of this study was to report the infected areas as well as to spread awareness about the spread of this disease.

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