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International Journal of Otolaryngology
Volume 2012 (2012), Article ID 809056, 3 pages
Clinical Study

Epistaxis in Visceral Leishmaniasis with Hematological Correlation

1Department of Otorhinolaryngology and Head and Neck Surgery, Gandaki Medical College, Pokhara, Nepal
2Department of Otorhinolaryngology and Head and Neck Surgery, B. P. Koirala Institute of Health Sciences, Dharan, Nepal
3Department of Internal Medicine, B. P. Koirala Institute of Health Sciences, Dharan, Nepal

Received 11 November 2011; Accepted 23 November 2011

Academic Editor: Charles Monroe Myer

Copyright © 2012 B. Sigdel et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Objective. To study the prevalence of epistaxis in visceral leismaniasis and its correlation with hematological profile. Methods. Out of 80 diagnosed cases of visceral leishmaniasis, 19 patients with epistaxis were included in the study. Diagnosis was made by Rk-39 from peripheral smear and LD bodies from bone marrow. Before starting anti-kala-azar treatment, nasal examination findings and hematological profile were noted. Study Design. Prospective cross-sectional hospital-based study. Results. Epistaxis was found in the age group of 7–66 years. Epistaxis was observed in 19 (23.8%) cases. One patient died because of epistaxis and neck hematoma. Conclusion. Epistaxis is a common ENT finding in endemic area of visceral leishmaniasis like our case.