The term "Kandahar sore" refers to a painful and often debilitating skin infection, commonly found in certain regions of Afghanistan, particularly in the city of Kandahar. It is also known as "oroya fever" or "cutaneous oroya fever."
The infection is caused by a bacterium known as Bartonella bacilliformis, which is transmitted to humans through the bite of infected sand flies. The initial symptoms of Kandahar sore include fever, fatigue, and muscle aches. As the infection progresses, it manifests as painful skin lesions, typically developing into open sores or ulcers that can affect different parts of the body, particularly exposed areas such as the face, arms, and legs. These lesions are often accompanied by severe itching and discomfort.
If left untreated, Kandahar sore can lead to various complications, including secondary bacterial infections, intense pain, and potential disfigurement. Treatment for this condition usually involves a combination of antibiotics, such as streptomycin or doxycycline, as well as supportive care measures to alleviate symptoms and promote healing.
Due to its geographical limitation, Kandahar sore is relatively rare outside specific areas of Afghanistan and other regions of South America, where similar infections occur. Nonetheless, awareness of this condition is crucial for medical professionals and travelers who may frequent these areas, in order to facilitate early diagnosis, appropriate treatment, and prevent further spread of the infection.
