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Original Article

Clinico-Epidemiological Patterns of Cutaneous Leishmaniasis Patients Attending the Anuradhapura Teaching Hospital, Sri Lanka

Lahiru Sandaruwan Galgamuwa1,2, Buthsiri Sumanasena3, Lalani Yatawara4, Susiji Wickramasinghe2, Devika Iddawela2,*
The Korean Journal of Parasitology 2017;55(1):1-7.
Published online: February 28, 2017

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*Corresponding author: (devikaiddawela@yahoo.com)
• Received: September 29, 2016   • Revised: December 31, 2016   • Accepted: January 8, 2017

Copyright © 2017 by The Korean Society for Parasitology and Tropical Medicine

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Clinico-Epidemiological Patterns of Cutaneous Leishmaniasis Patients Attending the Anuradhapura Teaching Hospital, Sri Lanka
Korean J Parasitol. 2017;55(1):1-7.   Published online February 28, 2017
DOI: https://doi.org/10.3347/kjp.2017.55.1.1
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Clinico-Epidemiological Patterns of Cutaneous Leishmaniasis Patients Attending the Anuradhapura Teaching Hospital, Sri Lanka
Korean J Parasitol. 2017;55(1):1-7.   Published online February 28, 2017
DOI: https://doi.org/10.3347/kjp.2017.55.1.1
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Clinico-Epidemiological Patterns of Cutaneous Leishmaniasis Patients Attending the Anuradhapura Teaching Hospital, Sri Lanka
Image Image Image
Fig. 1 Ethidium bromide stained agarose gel of PCR products of Lesihmania species (CL) from patients. M, molecular marker (100 bp); lanes 1, 2, 4, 5, 6, and 8, positive samples; lanes 3 and 7, negative samples; lane 9, negative control; lane 10, positive control.
Fig. 2 Age and sex distribution of CL patients.
Fig. 3 Distribution of CL lesions on infected patients.

Fig. 1

Fig. 2

Fig. 3

Clinico-Epidemiological Patterns of Cutaneous Leishmaniasis Patients Attending the Anuradhapura Teaching Hospital, Sri Lanka

Occupational distribution of CL patients

Occupation No. of CL patients %
Army soldiers 14 32.6
Farm workers 10 23.3
Housewives 9 20.9
Field officers 2 4.7
Teachers 2 4.7
Businessmen 2 4.7
Students 2 4.7
Sales executive 1 2.3
Carpenter 1 2.3
Total 43 100.0

Frequency distribution of details of exposure

Variables Categories CL positives (n=43) CL negatives (n=14) P-value
Presence of rear animals Yes 18 6 1.000
No 25 8
Presence of sandflies Yes 32 5 0.021
No 11 9
Presence of CL lesions in family members or neighbors Yes 23 4 0.132
No 20 10
Presence of scrub jungles around the residence/occupation place Yes 37 6 0.003
No 6 8
Outdoor activities more than 6 hr per day Yes 36 5 0.001
No 7 9
Dwelling area Rural 40 11 0.151
Urban 3 3

Clinical presentations of CL patients

Variables Categories Male patients Female patients Total (%) P-value
Age (year) 0–40 23 6 29 (67.4) 0.704
>40 10 4 13 (32.6)
Number of lesions 1 26 7 33 (76.7) 0.674
2 7 3 10 (23.3)
Sites of lesions Upper limbs 17 5 22 (41.5) 0.553
lower limbs 12 5 17 (32.1)
Face 4 3 7 (13.2)
Neck 4 0 4 (7.5)
Back 3 0 3 (5.7)
Duration of lesions (month) <6 23 9 32 (60.4) 0.886
6–12 13 3 16 (30.2)
>12 4 1 5 (9.4)
Size of lesions (mm2) 50–100 22 11 33 (62.3) 0.157
101–200 14 2 16 (30.2)
>200 4 0 4 (7.5)
Types of lesions Papulo-nodular 15 4 19 (35.8) 0.379
Nodular-ulcerative 16 8 24 (45.3)
Ulcers 9 1 10 (18.9)
Inflammatory signs Yes 30 10 40 (75.5) 1.000
No 10 3 13 (24.5)
Other features Dry CL 30 5 35 (66.0) 0.022
Wet CL 10 8 18 (34.0)
Table 1 Occupational distribution of CL patients
Table 2 Frequency distribution of details of exposure
Table 3 Clinical presentations of CL patients

Table 1

Table 2

Table 3

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