The parasite shown in the image is Promastigote phase of Leishmania in the culture.
The patient in question is suffering from Visceral Leishmaniasis(Kala azar).
- It is a disease caused by protozoan parasites of the genus Leishmania and spread by the bite of certain types of sandflies.
- The disease can present in three main ways: cutaneous, mucocutaneous, or visceral leishmaniasis(Kala azar/Black fever).
- The cutaneous form presents with skin ulcers, while the mucocutaneous form presents with ulcers of the skin, mouth, and nose, and the visceral form starts with skin ulcers and then later presents with fever, low red blood cells, and enlarged spleen and liver.
- Culture:Growth of Promastigotes in days to weeks.Promastigotes are characterized by a flagellum and a kinetoplast anterior to the nucleus. They are the infective stage to humans.
- Drugs used for Leishmaniasis (Kala azar) – Sodium stibogluconate (DOC), Pentamidine, Amphotericin B, Ketoconazole, Miltefosine, Paromomycin, Allopurinol.