Parasites, Hosts and Diseases

"clinical feature"

Original Articles

Diagnosis, Treatment and Clinical Features of Cutaneous Leishmaniasis in Saudi Arabia: Yousry A. Hawash, Khadiga A. Ismail, Maha M. Abdel-Wahab, Mahmoud Khalifa; Korean J Parasitol 2018;56(3):229-236.
Published online June 30, 2018; DOI: https://doi.org/10.3347/kjp.2018.56.3.229

Abstract
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Cutaneous leishmaniasis (CL) has been one of the most common parasitic diseases in Saudi Arabia. This study exhibits the clinical features, diagnosis, cytokine profile and treatment of CL patients in Al-Taif province. Ninety CL suspects at a tertiary care general hospital were enrolled in one-year study. Patients were interviewed, clinically-examined, and subjected to laboratory tests: skin scraping smear microscopy, OligoC-TesT commercial PCR (Coris BioConcept) and kinetoplast DNA (kDNA) PCR for Leishmania diagnosis. Interferon-gamma (RayBio; Human IFN-γ) and nitric oxide (NO) levels in patients’ sera were evaluated before treatment with sodium stibogluconate (pentostam) with 20-day intramuscular drug regimen. Positive rates of microscopy, commercial PCR and kDNA PCR were 74.4%, 95.5% and 100%, respectively. Patients came to hospital mostly in winter (45.0%). CL was frequently exhibited in Saudi patients (78.8%), male gender (70.7%), age <20 years (50.0%), rural-dwellers (75.5%) and patients with travel history (86.6%). Lesion was mostly single ulcer (93.3%), occurred in the face (67.7%). Upon pentostam treatment, 85.1% of ulcers showed rapid healing signs. Levels of IFN-γ and NO were significantly higher in the healing than the non-healing cases (P<0.001). The kDNA PCR proved more sensitive than microscopy and OligoC-TesT commercial PCR. Our results open perspectives for IFN-γ use as a biomarker predicting treatment response.

Citations

Citations to this article as recorded by

Neglected Tropical Diseases (NTDs) in Saudi Arabia: Systematic Review and Meta-analysis
Najm Z. Alshahrani, Abdullah M. Alarifi, Abdullah M. Assiri
Journal of Epidemiology and Global Health.2025;[Epub] CrossRef
Tracking of Leishmania spp. in Iranian phlebotominae, distribution and biodiversity in Jarqavieh county, central Iran
Mehdi Haddadnia, Mahsa Esmaeilifallah, Parisima Badiezadeh, Seyed Mohammad Abtahi
International Journal of Environmental Health Research.2025; 35(12): 3761. CrossRef
Epidemiology and clinical features of cutaneous leishmaniasis in Khyber Pakhtunkhwa, Pakistan
W. Iqbal, U. Iram, S. Nisar, N. Musa, A. Alam, M. R. Khan, B. Ullah, M. Ullah, I. Ali
Brazilian Journal of Biology.2024;[Epub] CrossRef
Evaluation of the biodiversity and distribution of sand flies and tracking of Leishmania major in them in central Iran
Parisima Badiezadeh, Mahsa Esmaeilifallah, Mehdi Haddadniaa, Seyed Mohammad Abtahi
International Journal of Environmental Health Research.2024; 34(9): 3245. CrossRef
Epidemiology and clinical features of parasitic disease Leishmaniasis. A case study from Pakistan
Muhaibullah khan, Sheraz Ahmad, Hamayun saeed, M. Junaid Akhtar, Amna Munir
Medical Reports.2024; 6: 100090. CrossRef
Epidemiological Mapping of Cutaneous Leishmaniasis in Saudi Arabia: An Observational Descriptive Study
Basmah Alharbi, Mawahib Ahmed
Journal of Epidemiology and Global Health.2024; 14(3): 1281. CrossRef
Dermoscopic features in relation to the type of clinical lesions in cutaneous leishmaniasis
Qasim S. Al Chalabi, Hala N. Al Salman, Anfal L. Al harbawi
Journal of the Egyptian Women's Dermatologic Society.2024; 21(3): 240. CrossRef
Leishmaniasis: Recent epidemiological studies in the Middle East
Chinyere A. Knight, David R. Harris, Shifaa O. Alshammari, Ayele Gugssa, Todd Young, Clarence M. Lee
Frontiers in Microbiology.2023;[Epub] CrossRef
Cutaneous Leishmaniasis: Associated Risk Factors and Prevention in Hubuna, Najran, Saudi Arabia
Mohammed Jamaan Alzahrani, Nahid Elfaki, Yahya Hussein Ahmed Abdalla, Mugahed Ali Alkhadher, Maha Hamed Mohamed Ali, Waled AM Ahmed
International Journal of General Medicine.2023; Volume 16: 723. CrossRef
A disfiguring neglected tropical disease sweeps war-torn Yemen: a community-based study of prevalence and risk factors of cutaneous leishmaniasis among rural communities in the western highlands
Manal A Al-Ashwal, Wahib M Atroosh, Abdulelah H Al-Adhroey, Assia A Al-Subbary, Lau Yee-Ling, Hesham M Al-Mekhlafi
Transactions of The Royal Society of Tropical Medicine and Hygiene.2023; 117(12): 823. CrossRef
Distribution, clinical features, and epidemiology of cutaneous leishmaniasis: A case study of District Haripur, KPK, Pakistan
Muhaibullah Khan, Shehzad Ghayyur, Samina yasmin
Medical Reports.2023; 2: 100025. CrossRef
Cutaneous Leishmaniasis Prevalence and Clinical Overview: A Single Center Study from Saudi Arabia, Eastern Region, Al-Ahsa
Mahdi Al-Dhafiri, Abdulmohsen Alhajri, Zahraa Ali Alwayel, Jasmine Ahmed Alturaiki, Shaima Ali Bu Izran, Fatimah Ahmed Alhammad, Ryhana Mohammed Aljumaiah
Tropical Medicine and Infectious Disease.2023; 8(12): 507. CrossRef
Distribution and epidemiological features of cutaneous leishmaniasis in Asir province, Saudi Arabia, from 2011 to 2020
Yasser Alraey
Journal of Infection and Public Health.2022; 15(7): 757. CrossRef
Molecular characterization of Leishmania species from stray dogs and human patients in Saudi Arabia
Abdullah D. Alanazi, Abdulazi S. Alouffi, Mohamed S. Alyousif, Abdulsadah A. Rahi, Magda A. Ali, Hend H. A. M. Abdullah, Fabio A. Brayner, Jairo Alfonso Mendoza-Roldan, Marcos Antonio Bezerra-Santos, Domenico Otranto
Parasitology Research.2021; 120(12): 4241. CrossRef
Clinical Diagnosis and Treatment Value of CT Three-Dimensional Imaging of Gynecological Pelvic Blood Vessels
Li Qiao, Changxiao Li, Qinde Yu, Li Ma
Journal of Medical Imaging and Health Informatics.2021; 11(6): 1743. CrossRef
Prevalence of Leishmania species among patients with cutaneous leishmaniasis in Qassim province of Saudi Arabia
Zafar Rasheed, Ahmed A. Ahmed, Tarek Salem, Mohammed S. Al-Dhubaibi, Ahmad A. Al Robaee, Abdullateef A. Alzolibani
BMC Public Health.2019;[Epub] CrossRef

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Prevalence and Clinical Manifestations of Malaria in Aligarh, India: Umm-e Asma, Farha Taufiq, Wajihullah Khan; Korean J Parasitol 2014;52(6):621-629.
Published online December 23, 2014; DOI: https://doi.org/10.3347/kjp.2014.52.6.621

Abstract
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Malaria is one of the most widespread infectious diseases of tropical countries with an estimated 207 million cases globally. In India, there are endemic pockets of this disease, including Aligarh. Hundreds of Plasmodium falciparum and P. vivax cases with severe pathological conditions are recorded every year in this district. The aim of this study is to find out changes in liver enzymes and kidney markers. Specific diagnosis for P. falciparum and P. vivax was made by microscopic examination of Giemsa stained slides. Clinical symptoms were observed in both of these infections. Liver enzymes, such as AST, ALT, and ALP, and kidney function markers, such as creatinine and urea, were estimated by standard biochemical techniques. In Aligarh district, P. vivax, P. falciparum, and mixed infections were 64%, 34%, and 2%, respectively. In case of P. falciparum infection, the incidences of anemia, splenomegaly, renal failure, jaundice, and neurological sequelae were higher compared to those in P. vivax infection. Recrudescence and relapse rates were 18% and 20% in P. falciparum and P. vivax infections, respectively. Liver dysfunctions and renal failures were more common in P. falciparum patients, particularly in elderly patients. Artesunate derivatives must, therefore, be introduced for the treatment of P. falciparum as they resist to chloroquine as well as sulfadoxine-pyrimethamine combinations.

Citations

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Ritu Karoli, Shobhit Shakya, Nikhil Gupta, Vineeta Mittal, Anil Kumar Upadhyay
Tropical Parasitology.2021; 11(1): 25. CrossRef
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103 Download
18 Web of Science
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Haplorchis taichui as a Possible Etiologic Agent of Irritable Bowel Syndrome-Like Symptoms: Dorn Watthanakulpanich, Jitra Waikagul, Wanna Maipanich, Supaporn Nuamtanong, Surapol Sanguankiat, Somchit Pubampen, Rangson Praevanit, Srisuchat Mongkhonmu, Yukifumi Nawa; Korean J Parasitol 2010;48(3):225-229.
Published online September 16, 2010; DOI: https://doi.org/10.3347/kjp.2010.48.3.225

Abstract
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The aim of this study is to clarify the clinical features of Haplorchis taichui infection in humans in Nan Province, Thailand, and to correlate the clinical features with irritable bowel syndrome (IBS)-like symptoms. In this study area, only H. taichui, but neither other minute intestinal flukes nor small liver flukes were endemic. The degree of infection was determined by fecal egg counts and also by collecting adult worms after deworming. The signs and symptoms of individual patients together with their hematological and biochemical laboratory data were gathered to evaluate the relationship between the clinical features and the severity of infection. Special emphasis was made to elucidate the possible similarities of the clinical features of H. taichui infection and IBS-like symptoms. The results showed useful clinical information and the significant (> 50%) proportion of haplorchiasis patients complained of abdominal pain, lassitude, and flatulence, which were the important diagnostic symptoms of IBS. This study has reported a possible link between H. taichui and IBS, and H. taichui might probably play a role in the etiology of these IBS-like symptoms.

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