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Visceral leishmaniasis, also known as kala-azar, is a severe systemic parasitic infection that affects internal organs including the spleen, liver, and bone marrow. It is caused by Leishmania donovani and Leishmania infantum parasites transmitted through the bite of infected sandflies. The Leishmania Antibody (IgG) blood test is the most important test for diagnosis because it detects specific antibodies produced in response to systemic infection.
Visceral leishmaniasis is caused by Leishmania donovani and Leishmania infantum parasites that are transmitted to humans through the bite of infected female phlebotomine sandflies. When an infected sandfly bites you, it injects the parasites into your bloodstream, where they travel to internal organs like the spleen, liver, and bone marrow. The parasites multiply inside white blood cells called macrophages, overwhelming your immune system and causing widespread organ damage if left untreated.
The Leishmania Antibody (IgG) blood test is the most important test for visceral leishmaniasis because it detects specific IgG antibodies that your immune system produces in response to Leishmania parasites. High antibody levels indicate a systemic infection affecting your spleen, liver, and bone marrow, which is the hallmark of visceral leishmaniasis. This test is crucial for confirming diagnosis when you have symptoms like prolonged fever, weight loss, and enlarged organs, especially if you have traveled to or live in areas where sandflies are common.
You should get tested if you have persistent fever lasting more than two weeks, unexplained weight loss, fatigue, or an enlarged spleen or liver, especially if you have traveled to endemic areas in East Africa, South Asia, the Mediterranean, or South America. Testing is particularly urgent if you notice darkening of your skin (which gives kala-azar its name, meaning black fever), weakness, or reduced appetite. Early detection is critical because visceral leishmaniasis is fatal if left untreated, and prompt diagnosis allows for effective treatment before serious organ damage occurs.
What this means
Your test came back negative, meaning no Leishmania antibodies were detected in your blood. This is a reassuring result and suggests you do not currently have or have not had a recent Leishmania infection.
Recommended actions
If you traveled to endemic areas and still have concerning symptoms, discuss retesting in 4-6 weeks as antibodies take time to develop
Use insect repellent and protective clothing when traveling to regions where leishmaniasis is common
Avoid outdoor activities at dawn and dusk in endemic areas when sandflies are most active
Consult an infectious disease specialist if symptoms persist despite negative results
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