RALEIGH - In addition to the combat casualties suffered during a tour of duty in Iraq last year, an N.C. National Guard brigade also had to medevac 13 men back to a U.S. hospital after volleyball games left them vulnerable to one of the Iraq war's most exotic hazards -- an outbreak of skin ulcers that can grow for years.Boy, all kinds of fucked-upness there. Support the troops, baby!
The victims, all men from the same small unit, contracted cutaneous leishmaniasis, characterized by weeping sores that refuse to heal, said Lt. Col Tim Mauldin, the brigade's top medical officer.
"No matter what you do, it just keeps getting bigger and bigger," he said.
Leishmaniasis is spread by the bite of tiny sandflies, which deposit microscopic parasites that cause the sores. It is endemic along the Iranian border where some of the North Carolina troops served. Another version of the disease is fatal, but the main dangers for victims of this strain are permanent scarring (the ulcers often occur on the face) and loss of motion if the sores appear over a joint.
The illness is nicknamed "Baghdad Boil." At the time the guardsmen contracted it last year, the only way to treat it was to fly them back to Walter Reed Army Medical Center for up to three weeks of intravenous treatments with a drug called Pentostam. It is not approved for use in the United States. The Army was able to administer the treatment because it had gotten the drug approved for experimental use.
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