Kala-Azar at high altitude.
Kala-azar or Visceral leishmaniasis (VL) is a disease of low altitude (approximately 500 meters mean sea level). In India, however cases have been reported from sub-Himalayan region (350-960 meters MSL) of Kumaon region of Uttaranchal. We present two patients of VL, natives of tribal district of Kinnnaur (2000-3000 meters MSL), Himachal Pradesh, who had never visited known endemic area for Leishmaniasis. These are probably first indigenous cases of VL being reported from an area situated at an altitude of 3000 meters and 2300 meters MSL.
Mahajan
Sanjay K
SK
Department of Medicine, Indira Gandhi Medical College, Shimla.
Machhan
Prem
P
Kanga
Anil
A
Thakur
Surinder
S
Sharma
Ashok
A
Prasher
Bhupal Singh
BS
Pal
Lal Singh
LS
D000328:Adult; D000531:Altitude; D000818:Animals; D017809:Fatal Outcome; D006801:Humans; D007194:India / Q000453:epidemiology; D007893:Leishmania donovani / Q000302:isolation & purification*; D007898:Leishmaniasis, Visceral / Q000175:diagnosis* / Q000469:parasitology; D008297:Male