TY  - JOUR
AU  - Das, Vidyanand Rabi 
AU  - Singh, Dharmendra 
AU  - Murti, Krishna 
AU  - Das, Sushmita 
AU  - Das, Pradeep 
AU  - Pandey, Krishna 
PY  - 2014
TI  - POST KALA-AZAR DERMAL LEISHMANIASIS WITH ULCERATION ON FOOT: AN ATYPICAL CASE PRESENTATION SUCCESSFULLY TREATED WITH MILTEFOSINE
JF  - American Journal of Infectious Diseases
VL  - 10
IS  - 2
DO  - 10.3844/ajidsp.2014.50.55
UR  - https://thescipub.com/abstract/ajidsp.2014.50.55
AB  - Visceral Leishmaniasis (VL) or Kala-Azar (KA) is highly endemic in the Indian subcontinent particularly in Bihar. Post Kala-azar Dermal Leishmaniasis (PKDL) is a known reservoir for leishmania parasites for transmission of VL. The kala-azar elimination program was launched by the government of three countries of the Indian subcontinent in the year 2005, which aims to eliminate kala-azar by 2015 and PKDL by 2018. PKDL diagnosis and management has not been addressed properly. In this case report we have described a case of PKDL with ulcer and atypical presentation who was subsequently diagnosed by demonstration of Leishmania donovani bodies in the skin snips through microscopy, kinetoplast-DNA nested PCR and clinically. The patient was treated with miltefosine capsules in the dose of 50 mg twice-a-day for twelve-weeks and responded completely. This case report assumes great importance as prompt diagnosis and treatment of PKDL is essential in the kala-azar elimination program.