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<Provider Id="sundheddkcms"> <Item Id="{C1C7F92F-4AD7-448C-978E-B424019DC8D5}" Name="leishmaniasis" Type="LHContentPage" ParentProviderId="sundheddkcms" ParentItemId="{0CAC8C92-CAAA-46E9-9ED8-C34BB57E4B91}" SortOrder="1500" PublishDate="2010-08-12T14:03:00" DeleteDate="2999-12-31T00:00:00" PotItemType=""> <Content> <HtmlField Name="PageContent"><![CDATA[<h2>Diagnose</h2> <h3>Diagnostiske kriterier</h3> <ul> <li>Relevant rejseanamnese (Indien, Mellemøsten, Nord- & Østafrika, Sydeuropa, Syd- & Mellemamerika)<a href=" " data-type="journal-reference" data-value="Burza S, Croft SL, Boelaert M, Leishmaniasis. Lancet 2018;392: 951-970" data-value-piped="Burza S, Croft SL, Boelaert M|Leishmaniasis.|Lancet|2018|392|951-970|30126638" data-url="reference-link" data-pubmedid="30126638" title="Burza S, Croft SL, Boelaert M, Leishmaniasis. Lancet 2018;392: 951-970">1</a></li> <li>Parasitter kan lejlighedsvis påvises direkte ved mikroskopi af udtaget væv (hud- eller slimhindebiopsi; lymfeknude-, knoglemarvs- og milt-aspirat)</li> <li><em>Leishmania</em>-DNA kan påvises i udtaget væv vha. PCR med en sensitivitet på hen ved 100 %</li> <li>Serologisk undersøgelse kan bekræfte diagnosen ved visceral leishmaniasis (høj sensitivitet)</li> </ul> <h3>Sygehistorie</h3> <h4>Visceral leishmaniasis</h4> <ul> <li>Inkubationstiden er typisk nogle måneder (fra få uger til adskillelige måneder)</li> <li>Feber (intermitterende eller vedvarende) og efterhånden betydelige almensymptomer (nattesved, træthed, vægttab)</li> <li>Uden behandling er tilstanden dødelig, typisk indenfor 2 år - dødsårsagen er oftest en interkurrent infektion</li> <li>Co-infektion med HIV fører til hastig progression af begge tilstande</li> </ul> <h4>Kutan leishmaniasis</h4> <ul> <li>Initialt en nodulus, der over uger progredierer til et smertefrit sår med voldformede rande</li> <li>Kutan leishmaniasis erhvervet i Nordafrika og Mellemøsten kan fremtræde som hyperkeratotiske, skorpedækkede plaques</li> <li>Systemiske symptomer er sjældne, men subfebrilia kan være til stede i starten</li> <li>Heling af læsioner starter ofte spontant efter måneder til 1-3 år, initialt med centralt granulationsvæv, som efterhånden omfatter hele såret</li> </ul> <h4>Diffus kutan leishmaniasis</h4> <ul> <li>Ikke-ulcererende læsioner, som optræder over hele kroppen, og som kan ligne lepra</li> </ul> <h4>Mukokutan leishmaniasis</h4> <ul> <li>Initialt læsioner på hud, som er eksponeret for stik fra sandmyg</li> <li>Læsioner på slimhinde i næse eller mund, som kan udvikles samtidig med hudlæsioner, men ellers måneder til år efter de initiale hudlæsioner <ul> <li>Slimhinden i forreste del af næseseptum angribes oftest først</li> </ul> </li> </ul> <h3>Kliniske fund</h3> <h4>Visceral leishmaniasis</h4> <ul> <li>Hepato-/splenomegali</li> <li>Universel lymfeknudesvulst</li> <li>Ved visceral leishmaniasis i Indien kan ses hyperpigmentering af hud, særligt på hænder, fødder, mave og pande (<em>kala-azar</em> - hindi for "sort feber")</li> <li>Mørklødede kan have vortelignende eruptioner eller sår i huden</li> <li>Petekkier, blødninger fra næse og mundhule, ikterus, ødem og ascites forekommer sent i forløbet</li> </ul> <h4>Kutan leishmaniasis</h4> <ul> <li>Initialt små papler sv.t. sandfluens bid</li> <li>Progression til vortelignende og ikke-ulcererende tørre plaques, eller til store skorpebelagte sår med hævet og indureret rand </li> <li>Satellitlæsioner kan forekomme</li> <li>Lokale lymfeknuder kan være forstørrede</li> <li><img alt="Foto af kutan leishmaniasis." src="C1DC691587264697B760416B5B671E92-150-211" title="Kutan leishmaniasis. Foto: Danderm" style="height: 211px; width: 150px;" height="211" width="150"></li> </ul> <h4>Mukokutan leishmaniasis</h4> <ul> <li>Forårsaget af visse <em>Leishmania</em>-arter erhvervet i Sydamerika (<em>L. brasiliensis</em> og <em>L. guyanensis</em>)</li> <li>Lokaliseret omkring næsebor på overgangen mellem slimhinde og hud, og med hævelse og deformering til følge</li> <li>Regional lymfangitis, lymfadenitis, feber, vægttab, keratitis og anæmi kan forekomme</li> </ul> <h3>Supplerende undersøgelser i almen praksis</h3> <ul> <li>Blodprøver kan vise pancytopeni og forhøjet sænkningsreaktion (visceral leishmaniasis)</li> </ul> <h3>Andre undersøgelser hos speciallæge eller undersøgelse på sygehus</h3> <ul> <li>Visceral leishmaniasis diagnosticeres ved histologisk undersøgelse af knoglemarv, ved PCR på udtaget væv eller ved serologi <ul> <li>Blodbilledet viser leukopeni, anæmi og trombocytopeni</li> <li>Hypergammaglobulinæmi</li> <li>Forhøjede levertal</li> <li>Proteinuri</li> </ul> </li> <li>Kutan leishmaniasis påvises ved PCR på hudbiopsi fra sårranden</li> </ul> <h3>Differentialdiagnoser</h3> <h4>Visceral leishmaniasis</h4> <ul> <li>Leukæmi</li> <li>Malignt lymfom</li> <li>Reumatologiske sygdomme så som <a href="~/link.aspx?_id=92496EEEB72A4D9C927249BFC8D19644&_z=z">reumatoid artritis</a>, <a href="~/link.aspx?_id=68262A579C404E3B83DEDB66EB738254&_z=z">SLE</a> (Feltys syndrom), <a href="~/link.aspx?_id=7205723652154346B16BEEDA3191B388&_z=z">dermatomyositis</a>, småkarsvasculitis</li> <li><a href="~/link.aspx?_id=86079B2402E549249F904BF67AA8FA3C&_z=z">Tuberkulose</a></li> <li><a href="~/link.aspx?_id=DF9CE7A95155441CABC7524772585B6E&_z=z">Brucellose</a></li> <li><a href="~/link.aspx?_id=CA7CC64FC95D489ABC9CC05F08E1FA29&_z=z">Malaria</a></li> <li><a href="~/link.aspx?_id=47CDC70A044345D3823E2A8B9BD42AB3&_z=z">Tyfus</a></li> <li><a href="~/link.aspx?_id=18EA98EE6EFD451B951689DA6FBBF0D9&_z=z">Schistosomiasis</a></li> <li>Afrikansk trypanosomiasis</li> <li><a href="~/link.aspx?_id=236AB7356E084412B05B180575D81C86&_z=z">Infektiøs endocarditis</a></li> </ul> <h4>Kutan leishmaniasis</h4> <ul> <li>Furunkler</li> <li>Lokaliserede svampeinfektioner (sporotrichose, endemiske svampe)</li> <li>Atypiske mykobakterieinfektioner</li> <li>Botryomykosee</li> <li>Malignitet</li> </ul> <h2>Behandling</h2> <h3>Behandlingsmål</h3> <ul> <li>Ved visceral leishmaniasis er formålet at sanere infektionen for at forebygge komplikationer og død</li> <li>Ved kutan leishmaniasis er formålet med behandlingen at forebygge skæmmende ardannelse og hindre progression til mukokutan sygdom (ved visse sydamerikanske former)</li> </ul> <h3>Generelt om behandlingen</h3> <ul> <li>Afhængig af <em>Leishmania</em>-art (specialistopgave)</li> <li>Der anvendes systemisk- og i visse tilfælde lokal behandling (sidstnævnte kun ved kutan leishmaniasis) </li> <li>Medikamenterne til systemisk brug har gennemgående høj toksicitet, behandlingstiden er lang, og hospitalisering er ofte nødvendig</li> <li>Intravenøse antimonpræparater (natriumstiboglukonat) er førstevalgsbehandling til visceral leishmaniasis erhvervet i Østafrika (forårsaget af <em>L. donovani</em>) og er andetvalgsbehandling til leishmaniasis erhvervet i Sydeuropa og Syd- & Mellemamerika (forårsaget af <em>L. infantum</em>)</li> <li>Intravenøs <a href="https://pro.medicin.dk/Sygdomme/Sygdom/318439">amphotericin B</a> er førstevalgsbehandling til visceral leishmaniasis erhvervet i Sydeuropa (forårsaget af <em>L. infantum</em>), Det indiske Subkontinent (forårsaget af <em>L. donovani</em>) og Syd- & Mellemamerika (forårsaget af <em>L. infantum</em>)</li> <li>Andre medikamenter til systemisk behandling af visceral leishmaniasis er intravenøs <a href="https://pro.medicin.dk/Sygdomme/Sygdom/318439">paromomycin</a> og (i Indien) peroral <a href="https://pro.medicin.dk/Sygdomme/Sygdom/318439">miltefosin</a>, som gives sammen eller i kombination med ovenstående præparater</li> </ul> <h3>Håndtering i almen praksis</h3> <ul> <li>Henvisning ved mistanke om tilstanden</li> </ul> <h3>Råd til patienten</h3> <ul> <li>Opmærksomhed på sandfluebid i endemiske egne</li> </ul> <h3>Medicinsk behandling</h3> <h4>Pentavalente antimon-forbindelser (natriumstiboglukonat eller megluminantimonat)</h4> <ul> <li>Gives i 4 uger eller mere for visceral og mukokutan leishmaniasis; kortere behandlingsvarighed for kutan leishmaniasis</li> <li>Intralæsionale injektioner kan anvendes ved ukompliceret kutan leishmaniasis</li> </ul> <h4>Andre medicinske behandlinger </h4> <ul> <li><a href="http://pro.medicin.dk/Sygdomme/Sygdom/318439">Miltefosin</a> (peroralt) - kun aktivt ved lesihmaniasis erhvervet på Det indiske Subkontinent</li> <li><a href="https://pro.medicin.dk/Sygdomme/Sygdom/318439">Paromomycin</a> (lokal- og systemisk behandling)</li> <li><a href="http://pro.medicin.dk/Sygdomme/Sygdom/318439">Pentamidin</a> (systemisk behandling)</li> <li><a href="https://pro.medicin.dk/Sygdomme/Sygdom/318439">Liposomalt amphotericin B</a></li> <li>For forskellige regimer se f.eks. reference<a href="EditorPage.aspx?da=core&id=%7BC1C7F92F-4AD7-448C-978E-B424019DC8D5%7D&ed=FIELD1573304344&vs&la=da&fld=%7B850D32D3-55A1-49E4-9CDF-F0C88D91563C%7D&so=%2Fsitecore%2Fsystem%2FSettings%2FHtml%20Editor%20Profiles%2FRich%20Text%20LHPH&di=0&hdl=H1573304409&mo&pe=0&fbd=1" data-type="journal-reference" data-value="Aronson N, Herwaldt BL, Libman M, Pearson R, Lopez-Velez R, Weina P, Carvalho EM, Ephros M, Jeronimo S, Magill A, Diagnosis and Treatment of Leishmaniasis: Clinical Practice Guidelines by the Infectious Diseases Society of America (IDSA) and the American Society of Tropical Medicine and Hygiene (ASTMH). Clin Infect Dis 2016;63: 1539-1557" data-value-piped="Aronson N, Herwaldt BL, Libman M, Pearson R, Lopez-Velez R, Weina P, Carvalho EM, Ephros M, Jeronimo S, Magill A|Diagnosis and Treatment of Leishmaniasis: Clinical Practice Guidelines by the Infectious Diseases Society of America (IDSA) and the American Society of Tropical Medicine and Hygiene (ASTMH)|Clin Infect Dis|2016|63|1539-1557" data-url="reference-link" title="Aronson N, Herwaldt BL, Libman M, Pearson R, Lopez-Velez R, Weina P, Carvalho EM, Ephros M, Jeronimo S, Magill A, Diagnosis and Treatment of Leishmaniasis: Clinical Practice Guidelines by the Infectious Diseases Society of America (IDSA) and the American Society of Tropical Medicine and Hygiene (ASTMH). Clin Infect Dis 2016;63: 1539-1557">2</a></li> </ul> <h3>Forebyggende behandling</h3> <ul> <li>Der foregår afprøvning af vacciner mod visceral leishmaniais i endemiske områder, men der er endnu ikke fundet nogen effektiv vaccine</li> </ul> <h2>Henvisning</h2> <ul> <li>Ved mistanke om tilstanden</li> </ul> <h2>Opfølgning</h2> <ul> <li>Forestås af infektionsmedicinsk ambulatorium</li> </ul> <h2>Sygdomsforløb, komplikationer og prognose</h2> <h3>Sygdomsforløb</h3> <ul> <li>Ved visceral leishmaniasis kan der i måneder til år efter overstået behandling ses udvikling af den såkaldte <em>post-kala azar dermal leishmaniasis</em> (PKDL)</li> <li>PKDL er er en genopblussen af tilstanden, som forekommer hos op til 50 % af patienter i Østafrika og hos 5-10 % af patienter i Indien</li> <li>Patienter med PKDL kan fungere som reservoir for sygdommen</li> </ul> <h3>Komplikationer</h3> <ul> <li>Visceral leishmaniasis kan pga. udtrætning af immunsystemet ledsages af interkurrente infektioner </li> <li>Kutan leishmaniasis kan kompliceres af pyogene infektioner, så som lymfangitis eller <a href="~/link.aspx?_id=69DC3DA446574CBBA380F9EB156B7878&_z=z">erysipelas</a></li> <li>Mukokutan leishmaniasis kan kompliceres af destruktion af bløddele og brusk i næse, læber og mund <ul> <li>Sekundær bakteriel infektion er også her almindelig</li> </ul> </li> </ul> <h3>Prognose</h3> <ul> <li>Visceral leishmaniasis har ubehandlet en dødelighed på op mod 100 %</li> <li>Ved tidlig diagnose og behandling reduceres dødeligheden til få procent</li> <li>Kutan leishmaniasis erhvervet i Nordafrika og i Mellemøsten går som regel over af sig selv i løbet af et års tid</li> <li>Mukokutan leishmaniasis erhvervet i Sydamerika kan ubehandlet føre til invaliderende destruktion af næseskillevæg og af hårde gane</li> </ul> <h2>Baggrundsoplysninger</h2> <h3>Definition</h3> <ul> <li>Parasitsygdom forårsaget af forskellige arter af <em>Leishmania</em><a href=" " data-type="journal-reference" data-value="Burza S, Croft SL, Boelaert M, Leishmaniasis. Lancet 2018;392: 951-970" data-value-piped="Burza S, Croft SL, Boelaert M|Leishmaniasis.|Lancet|2018|392|951-970|30126638" data-url="reference-link" data-pubmedid="30126638" title="Burza S, Croft SL, Boelaert M, Leishmaniasis. Lancet 2018;392: 951-970">1</a></li> <li>Repræsenterer et bredt spektrum af sygdomme fra spontant helende hudsår (ukompliceret kutan leishmaniasis) til alvorlig systemisk sygdom (visceral leishmaniasis) </li> </ul> <h3>Forekomst</h3> <ul> <li>Prævalens: <ul> <li>Sygdommen er endemisk i 98 lande og rammer primært fattige mennesker i Afrika, Asien og Latinamerika - en milliard mennesker lever i risiko for smitte, men den sande prævalens kendes ikke</li> </ul> </li> <li>Incidens: <ul> <li>Betydelig underrapportering af visceral leishmaniasis, som af WHO estimeres til mellem 50.000 og 90.000 tilfælde årligt </li> <li>Betydelig underrapportering af kutan leishmaniasis, som af WHO estimeres til mellem 600.000 og 1 millioner tilfælde årligt</li> </ul> </li> <li>Geografi <ul> <li>Sygdommen er endemisk i tropiske og tempererede områder; i nordlige og tropiske Afrika, i Centralasien, dele af Europa og Mellem- og Sydamerika </li> <li>Kutan leishmaniasis: Over 85 % af alle nye tilfælde i 2020 forekom i Afghanistan, Algeriet, Brasilien, Columbia, Irak, Libyen, Pakistan, Peru, Syrien og Tunesien</li> <li>Mukokutan leishmaniasis: Over 90 % af alle nye tilfælde forekom i 2020 i Bolivia, Brasilien, Ethiopien og Peru</li> <li>Visceral leishmaniasis: Over 90 % af alle nye tilfælde i 2020 forekom i Brasilien, Etiopien, Eritrea, Indien, Kenya, Kina, Somalia, Sudan, Sydsudan og Yemen</li> </ul> </li> </ul> <h3>Ætiologi og patogenese</h3> <ul> <li>Sygdommen er en parasitsygdom, som skyldes en intracellulær parasit, <em>Leishmania</em></li> <li>Der skelnes mellem tre kliniske hovedformer: <ul> <li>Visceral leishmaniasis, som forårsages af <em>L. donovani</em> (Det indiske Subkontinent og Østafrika) og af <em>L. infantum</em> (Middelhavslandene og Sydamerika)</li> <li>Kutan leishmaniasis, som forårsages af bl.a. <em>L. tropica</em>, <em>L. major</em>, <em>L. aethiopica</em>, <em>L. mexicana</em> og <em>L. amazonensis</em></li> <li>Mukokutan leishmaniasis, som forårsages af <em>L. brasiliensis</em> og <em>L. guyanensis</em></li> </ul> </li> <li>Parasitten overføres ved bid af sandfluer (<em>Phlebotomus</em> og <em>Lutzomyia</em>) og kan ramme mange arter af pattedyr <ul> <li>Mennesket er blot en af mange forskellige pattedyrsværter og fungerer som reservoir for antroponotisk smitte</li> <li>Hunde og forskellige vilde gnavere fungerer som reservoir for zoonotisk smitte</li> <li>Visceral leishmaniasis (<em>kala-azar</em>, "sort feber") overføres i Indien også mellem mennesker (antroponose), især i tæt befolkede områder, hvor regulære epidemier kan optræde</li> </ul> </li> <li>Immunopatologi og manifestationer varierer i forskellige endemiske områder både blandt børn og voksne på grund af mindst 20 forskellige <em>Leishmania</em>-arter <a href="EditorPage.aspx?da=core&id=%7BC1C7F92F-4AD7-448C-978E-B424019DC8D5%7D&ed=FIELD5585759305&vs&la=da&fld=%7B850D32D3-55A1-49E4-9CDF-F0C88D91563C%7D&so=%2Fsitecore%2Fsystem%2FSettings%2FHtml%20Editor%20Profiles%2FRich%20Text%20LHPH&di=0&hdl=H5585759369&mo&pe=0&fbd=1" data-type="journal-reference" data-value="Van der Auwera G, Dujardin J-C, Species typing in dermal Leishmaniasis. Clinical Microbiology Reviews 2015;28: 265-94" data-value-piped="Van der Auwera G, Dujardin J-C|Species typing in dermal Leishmaniasis|Clinical Microbiology Reviews|2015|28|265-94" data-url="reference-link" title="Van der Auwera G, Dujardin J-C, Species typing in dermal Leishmaniasis. Clinical Microbiology Reviews 2015;28: 265-94">3</a></li> <li>Modtageligheden for sygdom afhænger af genetiske faktorer, både hos parasitten og hos mennesket</li> </ul> <h4>Patogenese</h4> <ul> <li>Sandfluer inokulerer ved deres bid såkaldte promastigoter i huden</li> <li>I fagolysosomerne i hudens makrofager vil overlevende promastigoter opformeres og transformeres til amastigoter, som inficerer andre makrofager, enten lokalt eller i fjerntliggende væv efter spredning </li> <li>Der opstår lokal eller systemisk inflammation, og sygdom vil udvikle sig, hvis ikke specifikke immunologiske mekanismer er etableret</li> <li>Inkubationstiden er uger til måneder</li> <li>Klinisk sygdom udvikles langsomt og sammenhængen med rejse eller sandfluebid behøver ikke være åbenbar</li> </ul> <h4>Latent infektion</h4> <ul> <li>Leishmaniasis kan være latent og kan bryde ud i tilfælde af immunsvækkelse, for eksempel hos AIDS-patienter eller hos patienter i immunmodulerende behandling</li> </ul> <h3>Disponerende faktorer</h3> <ul> <li>Importeret visceral leishmaniasis kan bl.a. ses hos HIV-inficerede personer eller hos patienter i immunmodulerende behandling efter ophold i visse Middelhavslande (Frankrig, Italien og Spanien)</li> <li>De fleste sygdomstilfælde globalt set forekommer i områder med dårlige økonomiske og hygiejniske forhold</li> </ul> <h3>ICPC-2</h3> <div>[ICPC]</div> <h3>ICD-10/SKS-koder</h3> <div>[ICD10]</div> <h2>Patientinformation</h2> <h3>Link til patientinformation</h3> <ul> <li><a href="~/link.aspx?_id=179319255DBE4518912050B1585D1298&_z=z">Information om leishmaniasis</a></li> </ul> <h2>Link til vejledninger</h2> <ul> <li><a rel="noopener noreferrer" href="https://www.who.int/leishmaniasis/en/" target="_blank">WHO's webpage om leishmaniasis</a> </li> <li><a href="https://www.cdc.gov/parasites/leishmaniasis/index.html">CDC's webside om leishmaniasis</a> </li> <li><a href="https://ecdc.europa.eu/en/leishmaniasis/facts">ECDC's webpage om leishmaniasis</a></li> <li>Forløbsbeskrivelser og pakkeforløb [ICPC]</li> </ul>]]></HtmlField> <HtmlField Name="PageReferences"><![CDATA[<div> </div>]]></HtmlField> <HtmlField Name="Resume"><![CDATA[<h2>Resumé</h2> <h3>Diagnose</h3> <ul> <li>Visceral leishmaniasis med feber, organsvulst og knoglemarvspåvirkning</li> <li>Kutan leishmaniasis med indolent og langsomt progredierende sår med voldformede rande efter relevant udlandsrejse</li> <li>Overvejes efter rejser til Middelhavslandene, Mellemøsten, Nordafrika, det indiske subkontinent og Syd-/Mellemamerika</li> <li>PCR-påvisning af parasitært DNA i milt aspirat, knoglemarv eller lymfeknudebiopsi (visceral form), eller i hudbiopsi (kutan form)</li> </ul> <h3>Behandling</h3> <ul> <li>Lokal behandling ofte tilstrækkelig ved kutan leishmaniasis (kryoterapi, termoterapi, antibiotikaholdig salve eller intralesional antibiotikainjektion)</li> <li>Systemisk behandling indiceret ved visceral leishmaniasis og ved visse former for kutan leishmaniasis erhvervet i Sydamerika</li> </ul> <h3>Henvisning</h3> <ul> <li>Ambulant henvisning ved mistanke om tilstanden</li> </ul>]]></HtmlField> <LinkListField Name="Spot2"> <LinkField linktype="internal">{99A85AFD-2F7A-4B5D-A1C9-C2701D5E7D30}</LinkField> </LinkListField> <TextField Name="DoctorsHandbookID">1780</TextField> <TextField Name="PageTitle">Leishmaniasis</TextField> <TextField Name="NavigationTitle">Leishmaniasis</TextField> <CheckBoxField Name="ShowInMenu">true</CheckBoxField> <CheckBoxField Name="ShowInContentField">true</CheckBoxField> <DateTimeField Name="RevisedDate">2022-08-12T10:49:00</DateTimeField> <LinkListField Name="Authors"> <LinkField linktype="internal">{E2256767-48D6-471F-9469-EF0C42383115}</LinkField> <LinkField linktype="internal">{26E8FF8A-82A3-4E33-AEC4-889C9763B0DA}</LinkField> </LinkListField> <LinkListField Name="Organization"> <LinkField linktype="internal">{CF77E8B9-9937-42B2-85DF-76B0F4E401F0}</LinkField> </LinkListField> <TextField Name="ICD10">B55, B55.0, B55.1, B55.2, B55.9</TextField> <TextField Name="ICPC2">A78</TextField> <LinkListField Name="SearchAreaID"> <LinkField linktype="internal">2</LinkField> </LinkListField> <TextField Name="Description">Repræsenterer et bredt spektrum af sygdomme fra spontant helende hudsår til alvorlig systemisk sygdom (visceral leishmaniasis).</TextField> <LinkListField Name="LHPHEditor"> <LinkField linktype="internal">{37FAF8C0-7527-48CA-9ECE-FCC7E8CBB368}</LinkField> </LinkListField> <TextField Name="__Updated by">sitecore\hath</TextField> <TextField Name="MetaKeywords">kala azar, Leishmaniasis, sandmyg, sort feber</TextField> <LinkListField Name="InformationCategory"> <LinkField linktype="internal">IC_13</LinkField> </LinkListField> <LinkListField Name="InformationType"> <LinkField linktype="internal">7</LinkField> </LinkListField> <LinkListField Name="SearchTargetGroup"> <LinkField linktype="internal">2</LinkField> </LinkListField> </Content> <Medias> <Media Id="C1DC691587264697B760416B5B671E92-150-211" Name="kutan leishmaniasis" MimeType="image/jpeg" Extension="jpg" Width="298" 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]]></Media> 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