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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 testosterone levels are slightly below the optimal range. While this is not necessarily cause for concern, it may contribute to occasional fatigue, reduced motivation, or lower muscle mass over time.
Recommended actions
Increase resistance or strength training
Prioritize 7–8 hours of quality sleep per night, try to reduce stress
Include more zinc- and magnesium-rich foods (like shellfish, beef, pumpkin seeds, spinach)
Consider retesting in 3–6 months
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