Post kala-azar dermal leishmaniasis: A threat to elimination program

 Post kala-azar dermal leishmaniasis (PKDL) is the late skin manifestation of visceral leishmaniasis (VL). It has been reported that about 2.5% to 20% of patients recovered from VL develop PKDL having stilted macular or nodular lesions with parasites. These individuals with PKDL represent an important but largely neglected reservoir of infection that perpetuates anthroponotic Leishmania donovani transmission and can jeopardize the VL elimination program as these cases can infect the sand flies and spread the endemic.  PLOS Neglected Tropical Diseases

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