胰肾联合移植受者全血细胞减少：一个意想不到的原因——移植受者内脏利什曼病病例

Pancytopenia in a simultaneous pancreas and kidney transplant recipient: an unexpected cause - a case of visceral leishmaniasis in a transplant recipient.

作者信息

Aardema H, Sijpkens Y W J, Visser L G

机构信息

Department of Internal Medicine, Leiden University Medical Center, Leiden, Department of Critical Care, University Medical Center Groningen, University of Groningen, The Netherlands.

出版信息

Clin Nephrol. 2009 Apr;71(4):460-2. doi: 10.5414/cnp71460.

DOI:10.5414/cnp71460

PMID:19356384

Abstract

A transplant recipient presented with fever and pancytopenia. Bone marrow biopsy showed Leishmania parasites. Travel history revealed a trip to Greece 17 months prior to admission. This case illustrates the importance of considering leishmaniasis as a cause of pancytopenia, especially in the immunocompromised, even in the absence of recent travel to an endemic area. Acknowledgment of this infection is vital as the outcome can be fatal if left untreated.

摘要

一名移植受者出现发热和全血细胞减少。骨髓活检显示有利什曼原虫寄生虫。旅行史显示在入院前17个月去过希腊。该病例说明了将利什曼病视为全血细胞减少原因的重要性，尤其是在免疫功能低下者中，即使近期没有前往流行地区。认识到这种感染至关重要，因为如果不治疗，后果可能是致命的。