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      Cutaneous leishmaniasis (Leishmania major infection) in Dutch troops deployed in northern Afghanistan: epidemiology, clinical aspects, and treatment.

      The American Journal of Tropical Medicine and Hygiene

      Afghanistan, Adult, epidemiology, Antiprotozoal Agents, therapeutic use, Cryotherapy, Humans, Leishmania major, Leishmaniasis, Cutaneous, drug therapy, parasitology, prevention & control, Male, Military Personnel, Netherlands, Phosphorylcholine, analogs & derivatives, Time Factors

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          Abstract

          Cutaneous leishmaniasis caused by Leishmania major infection affected 172 (18.3%) of 938 Dutch military troops deployed in northern Afghanistan in 2005. The high attack rate was a result of initial insufficient availability of means of prevention and insufficient adherence to preventive measures. At presentation, the lymphatic system was involved in 24.8%. Treatment with intralesional injections of antimony with or without cryotherapy was satisfactory, but 19.5% of patients received secondary treatment with miltefosine. Six months after treatment, 128 (77.1%) of 166 treated patients were cured, 16 (9.6%) were lost to follow-up, and 22 (13.3%) already experienced cure at six weeks but were not seen at six months. Natural evolution played a role in this observational study, which showed cure of all patients seen at six months. In general, management of cutaneous leishmaniasis was feasible under field conditions.

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          Author and article information

          Journal
          21118937
          2990047
          10.4269/ajtmh.2010.10-0143

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