暴露50年后的成功诊断与治疗：皮肤利什曼病仍是被忽视的鉴别诊断吗？
Successful diagnosis and treatment 50 years after exposure: is mucocutaneous leishmaniasis still a neglected differential diagnosis?
作者信息
Schleucher Regina D, Zanger Philipp, Gaessler Michael, Knobloch Juergen
机构信息
Institute of Tropical Medicine, University of Tuebingen, Tuebingen, Germany.
出版信息
J Travel Med. 2008 Nov-Dec;15(6):466-7. doi: 10.1111/j.1708-8305.2008.00261.x.
Abstract
We present a case of a long-term history of imported mucocutaneous leishmaniasis, illustrating the importance of this differential diagnosis even decades after exposure. Diagnostic pitfalls and the role of primary subspecies differentiation are demonstrated. Chemotherapy avoiding antimonials was successful and remarkably well tolerated by an elderly patient.
摘要
我们报告一例有长期输入性黏膜皮肤利什曼病病史的病例，说明了即使在接触数十年后进行这种鉴别诊断的重要性。展示了诊断陷阱以及主要亚种区分的作用。避免使用锑剂的化疗取得成功，且一位老年患者对其耐受性非常好。
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