Hatay ve çevresinde saptanan kutanöz leishmaniasis olguları
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Tarih
2006
Yazarlar
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Leishmaniasis; enfekte tatarcıkların deriden kan emerken bulaştırdıkları Leishmania türlerinin memeli konaklarda oluşturdukları bir hastalık grubudur. Kutanöz leishmaniasis (KL); ülkemizde şark çıbanı, Antep çıbanı gibi isimlerle anılan, başlıca deride ve bazen mukozalarda, yerinde deriden çökük iz bırakarak iyileşen deri hastalığıdır. Haziran 2003 yılı Ekim ayı ile 2005 yılı ayları arasında Mustafa Kemal Üniversitesi Tıp Fakültesi Parazitoloji laboratuarına kutanöz leishmaniasis şüphesi ile cilt lezyonu olan 55 olgu başvurmuştur. Mikroskop incelemesinde Leishmania amastigot şekilleri görülerek pozitif saptanan 40 olguya KL tanısı konulmuştur. Hastalardan 13'ü erkek (%32,5) 27'si (%67,5) kadındır. Hastalığın en sık 0-20 yaş aralığında (%57) görüldüğü, lezyonların en sık olarak yüz (%67,5) ile el ve ayaklarda (%32,5) görüldüğü belirlenmiştir. Hastaların 14'ünde lezyon sayısı 2 ila 8 arasında olduğu, lezyon sürelerinin ise en az 1 ay en fazla 3 yıl olduğu tespit edilmiştir. Hastaların çoğu İskenderun/Kırıkhan, İskenderun/Arsus, Serinyol, Altınözü, Samandağ Antakya, Harbiye ilçelerinden olup, tarımla uğraşmaktadırlar. KL tanısının en fazla oldugu ayların Mayıs ve Haziran olduğu da belirlenmiştir. Laboratuarımıza başvuran hastaların bazılarının henüz bildirimi olmayan yerleşim merkezlerinden olması, Hatay İli ve çevresinde KL odaklarının artmakta olduğu kanısını uyandırmıştır.
Leishmaniasis; is a disease that is transmitted by infected sand flies when they suck the blood of mammals. Cutaneous leishmaniasis (CL), which is given such names as the Antep boil in Turkey, is mostly seen on the skin and sometimes on the mucosa and heals with a recessed scar. Between June 2003 and October 2005, 55 patients with skin lesions presented at the parasitology laboratory of the Mustafa Kemal University Medical Faculty for the detection of CL. Microscopic examination showed Leishmania amastigotes in 40 patients who were given a diagnosis of CL. Thirteen patients were men (32.5%) and 27, women (67.5%). The most frequent age range was 0-20 (57.0%). The lesions were mostly found on the face in 27 (67.5%) patients and on the hands and feet in 13 (32.5%). Fourteen patients (35.0%) had 2 or more lesions. The duration of the lesions was from a minimum of 1 month to a maximum of 3 years. The patients were mostly from Iskenderun/Kirikhan, Iskenderun/Arsus Serinyol, Altinözü, Samandağ Antakya, Harbiye and they were farmers. Cutaneous leishmaniasis was more often detected during the May-June period. Some patients came to our laboratory from regions that had not reported CL before. Therefore, we think that CL has been increasing in Hatay and its surroundings.
Leishmaniasis; is a disease that is transmitted by infected sand flies when they suck the blood of mammals. Cutaneous leishmaniasis (CL), which is given such names as the Antep boil in Turkey, is mostly seen on the skin and sometimes on the mucosa and heals with a recessed scar. Between June 2003 and October 2005, 55 patients with skin lesions presented at the parasitology laboratory of the Mustafa Kemal University Medical Faculty for the detection of CL. Microscopic examination showed Leishmania amastigotes in 40 patients who were given a diagnosis of CL. Thirteen patients were men (32.5%) and 27, women (67.5%). The most frequent age range was 0-20 (57.0%). The lesions were mostly found on the face in 27 (67.5%) patients and on the hands and feet in 13 (32.5%). Fourteen patients (35.0%) had 2 or more lesions. The duration of the lesions was from a minimum of 1 month to a maximum of 3 years. The patients were mostly from Iskenderun/Kirikhan, Iskenderun/Arsus Serinyol, Altinözü, Samandağ Antakya, Harbiye and they were farmers. Cutaneous leishmaniasis was more often detected during the May-June period. Some patients came to our laboratory from regions that had not reported CL before. Therefore, we think that CL has been increasing in Hatay and its surroundings.
Açıklama
Anahtar Kelimeler
Parazitoloji, Genel ve Dahili Tıp
Kaynak
Türkiye Parazitoloji Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
30
Sayı
4
