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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
2007-5-9
pubmed:abstractText
We examined the epidemiology of kala-azar and asymptomatic leishmanial infection measured by serologic and leishmanin skin test results in a Bangladeshi community. In a subset, we measured serum retinol, zinc and C-reactive protein (CRP). Kala-azar and seroconversion incidence were 15.6 and 63.1 per 1,000 person-years, respectively. Proximity to a previous kala-azar case increased the likelihood of both kala-azar and asymptomatic infection. Bed net use protected against kala-azar (rate ratio = 0.35, P < 0.01), but not subclinical infection (rate ratio = 1.1, P = 0.82). Kala-azar patients were younger (P < 0.001) and reported lower red meat consumption (P < 0.01) than asymptomatic seropositive individuals. Retinol and zinc levels were lower in current kala-azar patients and those who later developed kala-azar compared with uninfected and asymptomatically infected subjects. The CRP levels were higher in kala-azar patients compared with the other two groups. Low red meat intake and poor zinc and retinol status may characterize a group at higher risk of symptomatic disease.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
May
pubmed:issn
0002-9637
pubmed:author
pubmed:issnType
Print
pubmed:volume
76
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
909-14
pubmed:meshHeading
pubmed-meshheading:17488915-Adult, pubmed-meshheading:17488915-Antibodies, Protozoan, pubmed-meshheading:17488915-Antigens, Protozoan, pubmed-meshheading:17488915-Bangladesh, pubmed-meshheading:17488915-C-Reactive Protein, pubmed-meshheading:17488915-Child, pubmed-meshheading:17488915-Child, Preschool, pubmed-meshheading:17488915-Endemic Diseases, pubmed-meshheading:17488915-Humans, pubmed-meshheading:17488915-Incidence, pubmed-meshheading:17488915-Leishmaniasis, Visceral, pubmed-meshheading:17488915-Logistic Models, pubmed-meshheading:17488915-Poisson Distribution, pubmed-meshheading:17488915-Prevalence, pubmed-meshheading:17488915-Protozoan Proteins, pubmed-meshheading:17488915-Risk Factors, pubmed-meshheading:17488915-Time Factors, pubmed-meshheading:17488915-Vitamin A, pubmed-meshheading:17488915-Zinc
pubmed:year
2007
pubmed:articleTitle
The epidemiology of visceral leishmaniasis and asymptomatic leishmanial infection in a highly endemic Bangladeshi village.
pubmed:affiliation
Centers for Disease Control and Prevention, Atlanta, Georgia 30341, USA. CBern@cdc.gov
pubmed:publicationType
Journal Article, Research Support, U.S. Gov't, P.H.S., Research Support, Non-U.S. Gov't