差分

*most serious

*same as Kala-azar

**dog, cattle is reservoir

*suspect for >2 weeks fever+splenomegaly with geographical relation

*detection of amastigote in smear of bone marrow aspiration, lymph node or spleen aspiration

*skin manifestation after completion of Tx of visceral leishmaniasis

**macular type, papular type, nodular type

**miltefosine for 12 weeks

*most common

*same as Oriental sore, Chiclero ulcer (in Latin America)

*cutaneous leishmaniasis by ''L. donovani'' is reported in Sri Lanka

*smear of fine needle aspirate or biopsy of skin lesion

*serological test is of no use; low sensitivity and variable specificity

*same as Espundia, white leprosy

*lyphatic or hematogenous dissemination to mucosa in mouth and/or upper respiratory tract, resulted in destruction and deformity of nose, palate, pharynx

*secondary bacterial infection

*leishmania is scarce in mucosal lesion

**strong local immune response