title: Post-kala-azar dermal leishmaniasis (PKDL) in visceral leishmaniasis-endemic communities in Bihar, India.
abstract: OBJECTIVE: To assess the prevalence of Post-kala-azar dermal leishmaniasis (PKDL) in 16 visceral leishmaniasis-endemic communities in Bihar, India. METHODS: Three-stage house-to-house survey of 2020 households to identify and confirm PKDL cases. RESULTS: The prevalence of confirmed PKDL cases was 4.4 per 10 000 individuals and 7.8 if probable cases were also considered. The clinical history and treatment of the PKDL cases are discussed in detail. CONCLUSION: PKDL can develop in visceral leishmaniasis patients treated with different anti-leishmanial drugs. Migration of PKDL cases to other villages may expand visceral leishmaniasis-affected areas.
authors.affiliation: Banaras Hindu University, Varanasi, India.
authors.forename: Rudra Pratap
authors.initials: RP
authors.lastname: Singh
authors.forename: Albert
authors.initials: A
authors.lastname: Picado
authors.forename: Shahnawaz
authors.initials: S
authors.lastname: Alam
authors.forename: Epco
authors.initials: E
authors.lastname: Hasker
authors.forename: Shri Prakash
authors.initials: SP
authors.lastname: Singh
authors.forename: Bart
authors.initials: B
authors.lastname: Ostyn
authors.forename: François
authors.initials: F
authors.lastname: Chappuis
authors.forename: Shyam
authors.initials: S
authors.lastname: Sundar
authors.forename: Marleen
authors.initials: M
authors.lastname: Boelaert