title: Changing pattern of visceral leishmaniasis, United Kingdom, 1985-2004.
abstract: A 20-year (1985-2004) retrospective review of 39 patients with imported visceral leishmaniasis found that tourism to Mediterranean countries and HIV infection were associated with visceral leishmaniasis. Diagnosis was often delayed. Treatment with liposomal amphotericin B has improved prognosis. Visceral leishmaniasis should be made a reportable disease.
authors.affiliation: Hospital for Tropical Diseases, London WC1E 6AU, United Kingdom.
authors.forename: Aeesha N J
authors.initials: AN
authors.lastname: Malik
authors.forename: Lawrence
authors.initials: L
authors.lastname: John
authors.forename: Anthony D M
authors.initials: AD
authors.lastname: Bruceson
authors.forename: Diana N J
authors.initials: DN
authors.lastname: Lockwood
mesh_terms: D017088:AIDS-Related Opportunistic Infections / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology / Q000469:parasitology; D000293:Adolescent; D000328:Adult; D000368:Aged; D000666:Amphotericin B / Q000627:therapeutic use; D000818:Animals; D000913:Antibodies, Protozoan / Q000097:blood*; D000981:Antiprotozoal Agents / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D005260:Female; D015658:HIV Infections / Q000150:complications; D006801:Humans; D007891:Leishmania / Q000235:genetics / Q000276:immunology* / Q000302:isolation & purification*; D007898:Leishmaniasis, Visceral / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology* / Q000469:parasitology; D008081:Liposomes / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D014195:Travel; D006113:United Kingdom / Q000453:epidemiology
chemical_list: D000913:Antibodies, Protozoan; D000981:Antiprotozoal Agents; D008081:Liposomes; C068538:liposomal amphotericin B; D000666:Amphotericin B