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2015 ; 44
(3
): 299-307
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A comprehensive review of cutaneous leishmaniasis in kerman province,
southeastern iran-narrative review article
#MMPMID25905072
Sharifi I
; Aflatoonian MR
; Fekri AR
; Hakimi Parizi M
; Aghaei Afshar A
; Khosravi A
; Sharifi F
; Aflatoonian B
; Khamesipour A
; Dowlati Y
; Modabber F
; Nadim A
Iran J Public Health
2015[Mar]; 44
(3
): 299-307
PMID25905072
show ga
BACKGROUND: Cutaneous leishmaniasis (CL) remains a serious public health concern
in Kerman Province, eastern Iran. This study was aimed to conduct a comprehensive
review and highlights various aspects of CL in the province of Kerman. METHODS:
This article mainly focuses on the studies published in the past 26 years on CL
in the province. Current data for the present status were obtained through the
provincial health system. RESULTS: Bam was the most infected district (63.6%),
followed by Kerman (24.7%) and other districts to a less extent. Leishmania
tropica is the major causative agent (95.5%) of CL in Kerman province, however,
L. major accounts for 4.5% of the total cases. Bam, Kerman and southern districts
of Kerman province were purely anthroponotic CL (ACL), while Rafsanjan, Baft, and
Sirjan showed both ACL and zoonotic CL (ZCL). In contrast, Orzoieh district was
merely endemic to ZCL type. Phlebotomus sergenti was the main vector in ACL foci
while Ph. papatasi was the major vector in the ZCL district of Orzoieh. Localized
CL was the most prevalent form (80%) of the disease, while leishmaniasis
recidivans was the most uncommon clinical manifestation (18.7%). CONCLUSION: Due
to recent rises in CL disease both in regard of increases in incidence rate and
expansion of the disease to new foci, and presence of various risk factors in the
province, control measures and health strategies should have high priorities to
help treat the existing cases and prevent the expansion of the disease to new
areas.