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Register a new userEpidemiological Study of the Cutaneous Leishmaniasis Disease in the Syrian Coast
وبائيات داء الليشمانيا الجلدي في الساحل السوري
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Tishreen University ورقة بحثية
Publication date
2020
fields
Medicine
and research's language is
العربية
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Shamra Editor
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تم من خلال هذا البحث دراسة الحالات التي راجعت قسم الأمراض الجلدية في مشفى تشرين الجامعي باللاذقية والمراكز التخصصية لليشمانيا والأمراض الطفيلية في محافظتي اللاذقية و طرطوس من بداية شهر نيسان 2018 حتى نهاية شهر كانون الأول 2019. حيث تعد سورية من المناطق الموبوءة بالليشمانيا الجلدية، إذ لاحظنا في السنوات الأخيرة تزايد عدد الإصابات الجلدية بشكل كبير في المحافظات السورية جميعها، مما جعل من داء الليشمانيات مشكلة صحية هامة تستدعي الدراسة. بهدف عزل وتحديد نوع وسلالات الطفيلي المسؤول عن الإصابات الجلدية في سورية، وذلك من أجل وضع خطة لمكافحة هذا المرض والحد من انتشاره. تعد طرق الفحص المجهري والزرع المعيار الذهبي في تشخيص الليشمانيا الجلدية، خاصة في المناطق الفقيرة التي ينتشر فيها هذا الداء. من خلال هذه الدراسة تبين أن الفئة العمرية الأكثر تعرضاً للإصابة هي بين 16-40 سنة وأن أعلى نسبة اصابة كانت لدى الذكور. وبالنسبة لتوزع الآفات الجلدية فقد سجلت أعلى نسبة على الوجه والأطراف العلوية والسفلية.
Through this research, case studies were reviewed which reviewed the dermatology department at Tishreen University Hospital in Lattakia and specialized centers for leishmaniasis and parasitic diseases in Lattakia and Tartous governorates from the beginning of April 2018 until the end of December 2019. Where Syria is one of the areas endemic with cutaneous leishmaniasis, as we have noticed in recent years the number of skin infections has increased dramatically in all Syrian governorates, which has made leishmaniasis an important health problem that warrants study. In order to isolate and determine the type and strains of the parasite responsible for skin injuries in Syria, in order to develop a plan to combat this disease and limit its spread. Microscopy and transplantation methods are the gold standard for diagnosing cutaneous leishmaniasis, especially in poor areas where this disease is common. Through this study it was found that the age group most exposed to infection is between 16 - 40 years and that the highest incidence was among males. As for the distribution of skin lesions, the highest percentage was recorded on the face, upper and lower extremities.
References used
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In this study the total of ٤١٥ cases of cutaneous leishmaniasis was evaluated
from Dermatology hospital and General clinic in Damascus from February
٢٠٠١ to February ٢٠٠٢. Most of these cases was reported in Damascus and its
suburb, and when we ma
de the direct microscopic test, amastigotes were
detectable in ٢٧١ cases, and the positive cases was increased to ٣٦٤ cases by
realizing the parasite culture into diphasic N. N. N. media, which confirm the
diagnosis.
According to the high specificity and sensitivity of ELISA test, we tried in
this preliminary study, to certify the usefulness of ELISA test in the detection of
specific antibodies (IgG) to cutaneous leishmaniasis(CL) in SYRIA, in order to
certify
the diagnosis of this disease by using the classic methods (observation
microscopic – culture).
The present study was performed on blood samples belong to 15 patients( 12 males,3
females) infected with cutaneous leishmaniasis, and their healing was also proved after
submitting local treatment. Study tests were performed on 2 stages, the first
after infection,
and the second two months at least after healing. Every patient was subject of the
following tests: total, and differential white blood cells count and hematocrit value. In
addition ,a study of the morphological changes of white blood cells was conducted.
This study aims to define bird species that use artificial lakes in Syrian coast, and
evaluate their population size for management and protection of wildlife. Four different
sites were chosen in Syrian coast, which considered the most important ar
tificial lakes.
Point counts method was used in bird survey in November, December, January, February,
March in 2011. 15 waterbird species were recorded belonging to 9 family and 6 order.
Wading birds were the main component of waterbird (60% of all species) in Syrian
coast. Populations size was 1 to 300 individuals. Diversity of birds and their Populations
were greatest in sites which are rich in food ( especially fish). The results showed a
difference in composition of bird communities in studied sites.
This study was performed on blood samples of 60 people [21females, 39
males]which have visited the center of leishmaniasis in lattakia city, and their infection
with cutaneous leishmaniasis was confirmed. The people were divided into three age
gro
ups where each group contained 20 patients, the first group [10-18 years,3females and
17males], the second group [19-30 years,8 females,12males],and the third group [31-
50years,10 females and 10males]. The following tests were evaluated to each blood
sample: total white blood cell count, differential white blood cells count, hematocrit test,
and blood group type test.
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