Author/Editor		Arnež, Maja; Jazbec, Janez; Trampuž, Andrej
Title		Kala-azar - prikaz primera
Translated title		Kala-azar - case report
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 68, št. 6
Publication year		1999
Volume		str. 361-4
Language		slo
Abstract		Background. Kala-azar is the visceral form of ishmaniasis. The infection is caused by the intracellular parasite Leishmania. It appears endemically. The patient is infected by the bite of the sandflies belonging to the genus Phlebotomus and Lutzomyia. Kala-azar is the disease characterised by specific clinical signs and laboratory characteristics. Secondary gastrointestinal and respiratory infections are common. The diagnosis is confirmed directly by isolation of the parasite or indirectly by serologic tests. Conclusions. The mortality of untreated infection is high. Kala-azar is not endemic in Slovenia. Because of people travelling into endemic regions and because of migration from these regions into Slovenia the possibility of kala-azar should be ruled out in suspicious cases.
Summary		Kala-azar je visceralna oblika lišmeniaze. Okužbo povzroča znotrajcelični zajedalec iz rodu Leishmania. Pojavlja se endemično. Človek se okuži s pikom okužene žuželke, najpogosteje peščene muhe rodu Phlebotomus in Lutzomyia. Kala-azar poteka z značilno klinično sliko in laboratorijskimi izvidi. Pogoste so sekundarne okužbe prebavil in dihal. Diagnozo potrdimo neposredno z dokazom zajedalca ali posredno s serološkimi preiskavami. Zaključki. Nezdravljena okužba je v visokem odstotku smrtna. Slovenija ni endemično področje za kala-azar. Zaradi vse večjega števila ljudi, ki potujejo v endemične kraje, in vedno večjega števila priseljencev iz teh krajev v Slovenijo pa moramo pri sumljivih bolnikih misliti tudi na možnost kala-azarja.
Descriptors		LEISHMANIASIS, VISCERAL INFANT