[Survey on a new case of visceral leishmaniasis in Shanxi Province].
A new case of visceral leishmaniasis (kala-azar) was reported by Changzhi CDC of Shanxi Province in September 2011. The case was investigated clinically and epidemiologically. The patient was a two-year-old boy who lived in Huangnian Town of Changzhi County in Shanxi Province. Clinical examination showed hepatosplenomegaly, consistent decrease of blood cells and Leishman-Donovan body in the bone marrow smear. The rK39 immune diagnosis test showed strongly positive. The case was diagnosed as kala-azar. After one course treatment of sodium stibogluconate, the patient's condition improved markedly. There were no cases of kala-azar in this region historically. Blood samples of 17 individuals and 5 domestic animals including 3 dogs were all negative in the rK39 immunodiagnostic test. It is speculated that the potential risk of kala-azar transmission exists in this region.
National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention, WHO Collaborating Center for Malaria, Schistosomiasis and Filariasis, Shanghai 200025, China.
Hui-Xia
HX
Cai
Su-Jun
SJ
Zuo
Wen-Xing
WX
Xu
Wei-Ping
WP
Wu
Jun
J
Li
Ke-Jun
KJ
Xu
D000818:Animals; D002415:Cats; D002675:Child, Preschool; D002681:China / Q000453:epidemiology; D004285:Dogs; D006801:Humans; D007159:Immunologic Tests; D007893:Leishmania donovani / Q000302:isolation & purification*; D007898:Leishmaniasis, Visceral / Q000097:blood / Q000175:diagnosis / Q000453:epidemiology*; D008297:Male; D012756:Sheep