Dr Namsa, GDMO , presented a case of fever and massive splenomegaly, that was confirmed as Kala -azar( Visceral Leishmaniasis) which has been reported from several pockets in eastern Bhutan. It was initially detected from Kengkhar under Mongar Dzongkhag. Caused by a parasite called Leishmania donovani, it is transmitted by a small mosquito like arthropod called sandfly, the picture of whihc is depicted here.
Kala-azar is endemic in India, Nepal and Bangladesh.
Did you do a BM to demonstrate LD bodies?
ReplyDeletesince you ran away from here, we could not do it!
ReplyDeletewhat treatment do u give in bhutan?? u know that when we were in bhu a new drug was started by dr.ss?? (multifocin or something like that)?/
ReplyDeletewe give stibogluconate..yes miltefoscine is the DOC
ReplyDelete