Evaluation of Visceral Leishmaniasis in Gadarif State Population using Ultrasonography

This study was intended to assess and evaluate the visceral leishmaniasis in Gadarif state using abdominal ultrasound scan in order to assess the feature changes in abdominal viscera due to this parasitic infection, A retrospective casecontrol study was conducted among 215 patients (male = 140 and female = 75), coming from kala-azar endemic areas (areas from where VL is regularly reported Gadarif state) with fever of more than 15 days and not responding to antimalarial and antibiotics during the period March 2012 to August 2013 at Omdurman Tropical Diseases Teaching Hospital in Sudan. CMRS Research Council Board, Khartoum, Sudan, Approve this research to be conducted at this period, where the U/S (version Aloka (500) (manufacture 2007). The result showed the commonest ultrasound findings in VL participants were hepatomegaly, splenomegaly and ascites. While this study reveals that the most affected gender from in this population were male (65.1 %), the majority from south Gadarif state region accounted for (62.8 %) where the most people experience distended bladder and vomiting in (39.5 %) and (34.9 %) respectively, lower corner of the liver appear to be rounded in (55.3 %) which indicated the persistent hepatomegaly with hyperecogenic (46.5 %) homogenous (83.7 %) liver texture. Same texture noted for spleen and both kidneys. Other complications such as focal liver lesions (4.7 %) and dilated portal vein (2.3 %) were detected. Conclusion Ultrasound scanning presents an effective role in VL, because of its ability to detect the consequences of this disease in various abdominal organs such as liver, spleen and pancreas earlier, which in turn allowing the possibility to treat these complications and prevents the deterioration of a patients health status