Evidence map›Paper›PMID 38110894›Full record

ArticleBMC infectious diseases2023

A case report on para-kala-azar dermal leishmaniasis: an unresolved mystery.

Md Mehedi Hasan, Sanghita Banik Proma, Md Saddam Hossain, Md Arifuzzaman, Naylla Islam, Md Abu Bakar Siddique, Amiruzzaman

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC infectious diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.7field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Md Mehedi HasanDepartment of Medicine, Sir Salimullah Medical College Mitford Hospital, Dhaka, Bangladesh. mehedissmcms@gmail.com.
Sanghita Banik PromaDepartment of Medicine, Sir Salimullah Medical College Mitford Hospital, Dhaka, Bangladesh. psanghita81@gmail.com.
Md Saddam HossainDepartment of Medicine, Sir Salimullah Medical College Mitford Hospital, Dhaka, Bangladesh.
Md ArifuzzamanGovernment Employee Hospital, Dhaka, Bangladesh.
Naylla IslamDepartment of Medicine, Sir Salimullah Medical College Mitford Hospital, Dhaka, Bangladesh.
Md Abu Bakar SiddiqueColonel Malek Medical College, Manikganj, Bangladesh.
AmiruzzamanDepartment of Medicine, Sir Salimullah Medical College Mitford Hospital, Dhaka, Bangladesh.
Mitford Hospital, DhakaDhaka Medical College and Hospital · BD

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPost-kala-azar dermal leishmaniasis (PKDL) is a dermatosis that occurs 2-3 years after an apparently successful treatment of visceral leishmaniasis (VL). In rare cases, PKDL occurs concurrently with VL and is characterized by fever, splenomegaly, hepatomegaly or lymphadenopathy, and poor nutritional status and is known as Para-kala-azar dermal leishmaniasis (Para-KDL). Co-association of active VL in PKDL patients is documented in Africa, but very few case reports are found in South Asia. We present a case of Para-kala-azar Dermal Leishmaniasis (Para-KDL) in a 50-year-old male patient with a history of one primary Visceral Leishmaniasis (VL) and 2 times relapse of Visceral Leishmaniasis (VL). The patient presented with fever, skin lesions, and hepatosplenomegaly. Laboratory tests revealed LD bodies in the slit skin smear and splenic biopsy. The patient was treated with two cycles of Amphotericin B with Miltefosine in between cycles for 12 weeks to obtain full recovery.

conclusionThis case report serves as a reminder that Para-kala-azar dermal leishmaniasis can develop as a consequence of prior visceral leishmaniasis episodes, even after apparently effective therapy. Since para-kala-azar is a source of infectious spread, endemics cannot be avoided unless it is effectively recognized and treated.

Indexed as

Antiprotozoal AgentsLeishmaniasis, CutaneousLeishmaniasis, VisceralAmphotericin BHumansMaleMiddle AgedRecurrenceAmphotericin BAntiprotozoal AgentsPara-kala-azarPKDLPost-kala-azar dermal LeishmaniasisVisceral LeishmaniasisVL

Identifiers

PMID38110894
PMCPMC10729440
OpenAlexW4389887518

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.