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File: 970805_DOC_222_CUTANEOUS_LEISHMAN_02.txt
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IS rIOPE r~BUNfl~~T NHERE THIS YECTOR IS PRESENT IN L~RCE
NUMBERS. THE ~ISE~SE H~S H'~LSO BEEN MORE NI~ESPRE~fl ~T LO~JFP
~LTITUI:3ES OF THE TIH~rt~ THERE IS SPECUL~TION TH~T PHLEBOTOMUS
BEROEROTI ~`Nfl.~OR PHLEBOTOMUS ~PIENT~LIs M~Y BE SECOND.~P....................`rCTZ\Pc=
3. CLINIC~L: OLID kiORLD OONOTIC CUT~NEOUS LEISHM~NI~SIS (ORIENT~L
~ORE B(~OHfl~r1 BOIL ~LEPPO EYIL) INCl~Br~TION PERIO~ Y~pIES FROM E?
NEE~:S TO SEVER~L friONTHS. M~NIFEST~TIONS ~RE V~RI~BLE WITH THE RURHL
OR MOIST FORM (L. M(~JOR) LESIONS BEING MULTIPLE. M~TURI[AG R~PIEiLy..
~N~ TENO TO HE~L i~~FTER SE\iERF~L MONTHS. THE LESION ST~RTS ~S 4
P~PULE TH4T GR~DU4LLY INCRE~SES IN SIE. BECOMES. CRUSTE £3 44£)
FIN~LLY ULCER~TES. Sr~TELLITE LESIONS M~Y BE PRESENT 4N£3 REGION~L
LYMPH4£3ENOP~THY M4Y OCCUR........£31 r~GNOS I S £)EPENflS ON I£3ENT IF I C4T I ON OF
THE P~R~SITE IN STH~INE£3 SME~RS OF SCR~PINOS. BIOPSY SPECIMENS. OR
~SPIR4TES. SECOt4£34RY B4CTERI~L INFECTIONS 4-RE NOT UNCOMMON 4Nri M4\'
OBSCURE VISU~LI~4TION OF THE P~R~SITE tr~S LEISHM~NI~~INFECTEO
M~CROPHp1GES 4RE £3ESTROYEfl. THE £3IFFEREJ?jTI~L flI4GNOSIS INCLU£3ES
CUT4NEOUS FUNG4L INFECT IONS Y4WS. SYPHILIS LEPROSY TUBERCULOSIS
4TYPIC4L M\iCOBPiCTERI4', ~N£3 LtJPUS YlJLGHRI~.
4. TRE~TMENT. THE £3FCISION TO TRE~T £3EPFNOS ON THE LOC4TION 4N£3
~ EXTENT OF THE LESION. ORTIMr~L £3OS4GE 4N£3 £)(JR4TION OF THER4R\' WITH
P4GE (:4 RHIP444\.'. `- UNrL~s
PENT~V4LENT 4NTIi.......- - ~RE J.iNCERT4IN WITH 4.. RECOM{1ENE4TION FOR
~CJ--2C) MG/r;G/£3~Y (M~XIM(jM OF B~O NCi/£3~Y) FOR 1~)-2o £3~YS £3EPEN£3ING ON
RESPONSE. RETRE4TMENT OR PROLONGEE TRE4TMENT M4Y BE RECUIREE 1.4
NON-RESPONEERS. 4.NEC£3OT4L REPORTS OF EFFIC4CY WITH ~NTIFUNG~L~ flP
4NTIMICROBI4LS SHOULE BE INTEPPRETEE WITH C4'UTION BEC4USE OL£3 ~4GF:.L£)
CUT~NEOUS LE I SHM~N I 4515 C4N RESOLVE SPONT4NEOUSLY.
5. PREVENTION: PERSON4.L PROTECTI~{E ME4SURES INCLUflE USE 0 - Il-4-r.CT
REPELLENTS 4N0 PROTECTIVE CLOTHING r--mVOIO4NCE OF F:;NOWN ENEEMI
4RE45. INSECT CONTROL. 4N£3 ELIMIN4TIOl...i or VECTOR BREEflING 4RE -~ JEH
H~ RUBBISH HE4PS. NOSGUITO NETTINr~ UNTRE4TE£3 WITH INSECTIClEE OP
REPELLENT M4Y H4VE 4 L4RGE EN~UGH~ME~H TO .`~LLOW RENETR4..TIOI..4 BY THE
TIN'.. S4N£3FL~'. ___
PC.'? Is.. irO B4'LES r~N'.E M4'..J T'yN4~i Nh.EFCt~',i_ -j~ I r~~e. 1 --4?-- -~
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BT
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