By B. Bisseru

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Multocida is uncommon. Sinusitis in man with this organism appears to run a very chronic course and P. multocida has been responsible for acute appendicitis, puerperal sepsis, meningitis, pneumonia, empyema thoracis and, rarely, bronchiectasis in humans but the method of infection is not fully known. The organism is sometimes found in the human nose without producing any symptoms, but at other times may be responsible for a chronic, greenish nasal discharge. A chronically infected frontal sinus, due to P.

Protozoan Diseases Canine hosts, especially the dog, jackal, wolf and fox, constitute an important reservoir for visceral leishmaniasis in the Old World. The dog and cat, together with other animals (armadillo, vampire bat), are a reservoir of Chagas's disease in the New World. R. and tropical America also form an important reservoir of the cutaneous form of the disease. Trypanosoma rangeli which overlaps in its distribution in South America with T. cruzi, the causative organism in Chagas's disease, has been recorded from both man and dogs in Venezuela, South America.

Left alone, the ulcers may heal without further treatment in about 6 to 12 months, leaving thin, hypopigmented scars. Diagnosis This is by demonstration of Leishman-Donovan bodies, from the edge of the ulcer. D. N. media may grow leptomonads. Warty single or multiple lesions are usually suggestive of cutaneous leishmaniasis in an endemic area but, should the causal organism not be isolated, supporting evidence for the diagnosis is obtained by the Montenegro skin sensitivity test, which is carried out by injecting intradermally, 0-1 ml.

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Diseases of Man Acquired from his Pets by B. Bisseru
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