Landmann E, Bogdan C, Donhauser N, Artlich A, Staude B, Gortner L
Zentrum für Kinderheilkunde, Abt. Allgemeine Pädiatrie und Neonatologie, Justus-Liebig-Universität, Giessen.
Klin Padiatr. 2000 Sep-Oct;212(5):266-7. doi: 10.1055/s-2000-9685.
Leishmaniasis is an anthropozoonosis caused by infection with leishmania parasites with either cutaneous, mucosal or visceral (kala-azar) involvement. While the benign cutaneous form is self-limited death occurs in approximately 80% of children with kala-azar when untreated. The diagnosis of kala-azar should not be missed in children presenting with fever, hepatosplenomegaly and pancytopenia especially with a history of sand fly bites. We report the case of a 13-month-old boy with both cutaneous and visceral involvement.
利什曼病是一种人兽共患病,由感染利什曼原虫引起,可累及皮肤、黏膜或内脏(黑热病)。虽然良性皮肤型利什曼病是自限性的,但未经治疗的情况下,约80%的黑热病患儿会死亡。对于出现发热、肝脾肿大和全血细胞减少尤其是有白蛉叮咬史的儿童,不应漏诊黑热病。我们报告一例13个月大的男孩,同时有皮肤和内脏受累的病例。