Cutaneous leishmaniasis in Shirqat-an epidemiological, immunological and bacteriological study

Abstract

AbstractFrom September of 2012 to June of 2013, a total of 245 cutaneous leishmania samples were taken in Sirqat inoutpatient clinics in Sirqat General Hospital , Province of Salah al-din. The results showed that the ulcers werecomparable between the sexes without significance differences between male and female groups and most of thecases were multiple ulcers by 68% and less 32% for single ulcers. ulcers included all parts of the body with aconcentration on the face by 32% of case and upper and lower parts by 27% and 25% respectively and by 3:2 .9% recorded on the trunk and 4% on the neck. the ulcers size ranged between 6-0.3 Cm and most of the ulcersranged between 1-3 Cm with the rule of dry ulcers on wet ulcers by 61% . The highest percent appeared inJanuary and February by 18.36% and 16.7% of ulcers, respectively.The presence of antibodies specialized for parasitc infection was Investigated in serum of 60 of the infectedcases to confirm that the infections were caused by the parasite and not by bacteria or another organisms .Results showed that 85% were positive for the antibody IgM. While 63.33% were positive for IgG. 52.5% ofsamples did not show any growth of the bacteria , while the proportion of samples positive and which appearedto showed growth were 47.5% of samples and completed the diagnosis steps on it and these bacterial specieswere Escherichia coli, Klebsiella pneumoniae, Staphylococcus aureus, Staphylococcus epidermidis andStreptococcus pyogenes .Positive samples for St. epidermides were 53.5%, while 31.5% of cases were positive for the species St. aureusand 6.85% of infections in S. pyogenes and 5.5%, of infected cases by the species E. coli all in children underthe age of nine and 2.7% cases of infections for the species K. pneumoniae. The secondary skin infection inmales were 54%, and this percentage is the highest compared with samples from females, which was 46%