Review on Leishmaniasis: A Neglected Global Disease

Razi S
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Abstract

As per World Health Organization, Leishmaniasis is a neglected, tropical disease. It is initiated by intracellular transmission of a parasite to humans, by sand fly bite. Factors like population variability, climate change etc. lead to the expansion of this disease. This article provides review of epidemiology and management of leishmaniasis i.e., cutaneous, mucosal, and visceral. Literature was studied by systematic exploration in PubMed including various articles from 2012-2022 without setting any exclusion criteria. There have been reports of development of strains, resistant to traditional therapy of leishmaniasi, along with simultaneous infections like HIV/Leishmania spp., and other targeted pharmaceutical resources i.e., amphotericin B and formulations, miltefosine, pentavalent antimonials. Since long, only few drugs are available for the management of the disease, having adverse effects and toxicity due to which the treatment control program is put in check globally. New strategies are required to manage this neglected disease adequately.
利什曼病:一种被忽视的全球性疾病
根据世界卫生组织,利什曼病是一种被忽视的热带疾病。它是由一种寄生虫通过沙蝇叮咬在细胞内传播给人类而引起的。人口变异、气候变化等因素导致该病的蔓延。本文综述了利什曼病的流行病学和管理,即皮肤、粘膜和内脏。文献系统检索PubMed,纳入2012-2022年的各类文献,未设置排除标准。有报告称,出现了对利什曼原虫传统治疗方法具有耐药性的菌株,同时出现艾滋病毒/利什曼原虫等感染,以及其他靶向药物资源,即两性霉素B和制剂、米特福辛、五价锑。长期以来,只有少数药物可用于治疗这种疾病,由于其副作用和毒性,治疗控制方案在全球范围内受到检查。需要新的战略来充分管理这一被忽视的疾病。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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