Kadivar M R, Kajbaf T Z, Karimi A, Alborzi A
Department of Paediatric Infectious Diseases, Shiraz University of Medical Sciences, Shiraz, Islamic Republic of Iran.
East Mediterr Health J. 2000 Sep-Nov;6(5-6):879-83.
Bacterial superinfection is one of the major complications leading to death in patients with visceral leishmaniasis. We studied the frequency and type of bacterial infection in 54 patients admitted to hospital with visceral leishmaniasis. The patients were children who ranged in age from 3 1/2 months to 7 years. Bacterial infections were found in 22 (41%) of the patients. Bacteria were isolated in patients with pneumonia, septicaemia, otitis media, urinary tract infections and skin infections. Enterobacteriaceae were the most common bacterial agents isolated. In infants with visceral leishmaniasis, fatal bacterial infections can be accompanied by nonspecific signs and symptoms. Thus, it is important to initiate antibiotic treatment early.
细菌二重感染是导致内脏利什曼病患者死亡的主要并发症之一。我们研究了54例因内脏利什曼病入院患者的细菌感染频率和类型。这些患者均为年龄在3个半月至7岁之间的儿童。22例（41%）患者发现有细菌感染。在肺炎、败血症、中耳炎、尿路感染和皮肤感染患者中分离出了细菌。肠杆菌科是最常见的分离出的细菌病原体。在内脏利什曼病婴儿中，致命的细菌感染可能伴有非特异性体征和症状。因此，早期开始抗生素治疗很重要。
