Leishmaniasis (leishmaniasis) disease, popularly known as oriental boil, is transmitted from female sandfly (female mosquito). A fly sucking blood from infected people and animals carrying the parasite infects healthy people. Although it is mostly seen in the East and Southeast regions in our country, it can be encountered in almost every region with the increase in migration in recent years. In addition to the bite of the midge fly, it can also be transmitted through sexual intercourse, blood transfusion and placenta. There are different forms of oriental boil. In addition to the bite of the midge fly, it can also be transmitted by sexual intercourse, blood transfusion and placenta. Oriental boil is not a fatal disease. However, if left untreated, it can leave permanent scars for life. Therefore, it is necessary to consult a doctor and be treated. Dermal leishmaniasis/ oriental boil; affects the skin and mucous membranes. It is in the acute form at a rate of 90%. There are 2 forms as dry (urban) and wet (rural) types.
What are the Types of Oriental Boil?
Dry Type Oriental Boil: The female sandfly, which carries Leishmania parasite, is 2 months after the bite. It starts as rashes on the skin after 1 year. The resulting red bump grows within 6 months and becomes a scar in the middle. The wound is covered with a hard-to-removal crust. There are plenty of parasites in the wound. Multiple lesion may develop in more than one bite at the same time. The wound, which is observed especially in places that the clothing does not cover, heals within an average of 1 year.
Wet Type Oriental Boil: A large pimple-like redness occurs where the female sandfly carrying Leishmania parasite sucks blood. There are bumps around it and it grows into a wound in a short time. It is hard and painful. Lymph nodes may enlarge in neighboring areas. It heals in 2-6 months but may leave scars. The rural type, that is, the wet type, progresses faster than the dry type, and the wound it causes tends to be larger. It is more likely to leave a scar.
Chronic Type Oriental Boil: In the chronic type, the symptoms continue for years without getting better. Since the diagnosis of leismia does not come to mind in these patients, they usually receive other diagnoses and treatments.
How to Diagnose Oriental Soil?
Leis The definitive diagnosis of hmaniasis is made by examining the serosity or skin biopsy material taken from the edge of the lesion by staining it with various dyes.
How to Treat Oriental Carbuncle?
Oriental boil is not a fatal disease. When left untreated, it usually heals within 1-2 years, leaving a scar. For this reason, it is also called 'year boil'. Medicines used for its treatment are brought from abroad by the Ministry of Health. Early diagnosis reduces the risk of scarring. The treatment is decided according to the size and number of the lesion, the age of the patient and the immune status. Medications can be administered systemically or by injection into the wound. Usually, several sessions are applied at certain intervals. After the wound becomes crusty, scars may remain despite the treatment. Since the fly usually sucks blood at night, it will be beneficial to use clothes that cover the body at night in areas where the disease is intense, to apply protective creams to the exposed areas, and to use protective agents such as mosquito nets if you are going to sleep in the open air.
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