leishmaniasis…

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leishmaniasis, leishmaniasis, mexicana, lesion on the cheek, leishmaniasis on the finger, leishmania panamensis on the foot, leishmania panamensis, close-up, antibodies, kala-azar, leishmaniasis, parasitic disease spread by the bite, the sandfly, leishmania, tiny protozoa, their parasitic life cycle includes the sandfly, an appropriate host, humans, one of those hosts, leishmania infection, cause skin disease, cutaneous leishmaniasis, affect the mucous membranes, a wide range of appearances, most frequently ulcers, skin lesions that resemble those of other diseases, cutaneous tuberculosis, syphilis, leprosy, skin cancer, basal cell carcinoma, fungus infections, leishmania, cause systemic, throughout the body, visceral leishmaniasis, fatal complications, introduced, body by the bite of a sandfly, parasite migrates, bone marrow, spleen, lymph nodes, systemic infection in children, begins suddenly, vomiting, diarrhea, fever, cough, in adults, fever, 2 weeks to 2 months is accompanied by nonspecific symptoms, fatigue, weakness, loss of appetite, weakness increases, the disease progresses, skin, become grayish, dark, dry, flaky, parasites damage the immune system by decreasing the numbers of disease-fighting cells so death, results from complications, infections, rather than, death often occurs, 2 years, cases of infection by leishmania have been reported on all the continents except australia, americas, leishmania, found from mexico south, south american continent, leishmaniasis has been reported among some military personnel returning, persian gulf, travelers guide to avoiding infectious diseases, history of exposure, bite of sandflies, history of in an area known, leishmaniasis, systemic illness, visceral leishmaniasis, fever, persistent, long duration, weeks, cycle irregularly, night sweats, fatigue, weakness, appetite loss, weight loss, abdominal discomfort, vague, vomiting, children, diarrhea, children, cough, children, scaly skin, gray, dark, ashen skin, thinning hair, skin disease, cutaneous leishmaniasis, symptoms on the skin, macule, papule, erythematous, skin ulcer, forms at site of original lesion, ulcer heals very slowly over a matter of months, smaller lesions, form around the ulcer, satellite lesions, symptoms on mucous membranes, nasal stuffiness, runny nose, nosebleed, ulcers, erosion of tissue, mouth, tongue, gums, lips, nose, nasal septum, swallowing difficulty, dysphagia, esophageal involvement, breathing difficulty, tracheal involvement, signs, enlarged spleen, enlarged liver, less common than enlarged spleen, enlarged lymph nodes, less common than enlarged spleen, systemic disease, skin test, the montenegro skin test, skin biopsy, biopsy, the spleen, bone marrow biopsy, lymph node biopsy, culture of biopsy material, indirect immunofluorescent antibody test, direct agglutination assay, tests, complementary, diagnosis, cbc, decreased cellularity of blood, pancytopenia, hemoglobin, signs of anemia, serum protein, decreased, serum albumin, decreased, immunoglobulins, antimony-containing compounds, the principal medications, treat leishmaniasis, meglumine antimonate, sodium stibogluconate, drugs that used, pentamidine, amphotericin b, plastic surgery required, disfigurement by destructive facial lesions, mucocutaneous leishmaniasis, removal, the spleen, splenectomy, required in drug-resistant cases, visceral leishmaniasis, cure rates, antimony compounds, accomplished, immune system occurs, marked disfigurement, mucocutaneous leishmaniasis, facial disfigurement, fatal infections resulting from damage, immune system, hemorrhage, contact health care provider, have been in an area endemic, leishmania, have been bitten by sandflies, have symptoms suggestive of leishmaniasis, preventing sandfly bites, most immediate form of protection, insect repellent, appropriate clothing, screening of windows, fine mesh netting around the bed, in endemic areas, reduce exposure, public health measures to reduce the sandfly population, animal reservoirs, no preventive vaccines, drugs, leishmaniasis.