Abstract
We describe a case of blepharo-conjunctivitis due to Leishmania donovani in association with nodules of post kala azar dermal leishmaniasis (PKDL) on the chin. The diagnosis was confirmed by isolation of the parasite in culture. Direct implantation of the parasite by contaminated fingers from the chin nodules to the eye is suggested as the mode of spread. The role of cell-mediated immunity, (CMI) in restricting the skin lesions on the chin for 37 years at the same site, was suspected. This is only the second report of ocular involvement in L. donovani infection from India.
Publication types
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Case Reports
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Research Support, Non-U.S. Gov't
MeSH terms
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Agglutination Tests
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Antimony Sodium Gluconate / administration & dosage
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Antimony Sodium Gluconate / therapeutic use
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Blepharitis / diagnosis*
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Blepharitis / drug therapy
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Blepharitis / immunology
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Conjunctivitis / diagnosis*
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Conjunctivitis / drug therapy
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Conjunctivitis / immunology
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Fluorescent Antibody Technique
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Humans
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Immunity, Cellular
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Leishmaniasis, Visceral / diagnosis*
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Leishmaniasis, Visceral / drug therapy
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Leishmaniasis, Visceral / immunology
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Male
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Middle Aged
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Recurrence
Substances
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Antimony Sodium Gluconate