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Leishmaniasis
Alternate Names : Kala-azar
Symptoms & Signs
Cutaneous leishmaniasis affects the skin and sometimes the mucus membranes. Symptoms may include: - Skin sores, which may become a skin ulcer that heals very slowly
- Ulcers and wearing away (erosion) in the mouth, tongue, gums, lips, nose, and inner nose
- Stuffy nose, runny nose, and nosebleeds
- Breathing difficulty
- Swallowing difficulty
Systemic visceral infection in children usually begins suddenly with vomiting, diarrhea, fever, and cough. Adults usually have a fever for 2 weeks to 2 months, along with symptoms such as fatigue, weakness, and appetite loss. Weakness increases as the disease gets worse. Other symptoms of systemic visceral leishmaniasis may include: - Belly area (abdominal) discomfort
- Cough (children)
- Diarrhea (children)
- Fever that lasts for weeks; may come and go in cycles
- Night sweats
- Scaly, gray, dark, ashen skin
- Thinning hair
- Vomiting (children)
- Weight loss
Diagnosis & Tests
A physical exam may show signs of an enlarged spleen, liver, and lymph nodes. The patient may have been bitten by sandflies, or was in an area known for leishmaniasis. Tests that may be done to diagnose the condition include: Other tests that may be done include:
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Review Date : 8/28/2009
Reviewed By : David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; and Jatin M. Vyas, MD, PhD, Assistant Professor in Medicine, Harvard Medical School, Assistant in Medicine, Division of Infectious Disease, Department of Medicine, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
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