Care of the Elderly, Hillingdon Hospitals NHS Foundation Trust, Middlesex, UK.
Age Ageing. 2012 Sep;41(5):696-8. doi: 10.1093/ageing/afs075. Epub 2012 Jun 12.
Older patients referred for further investigation of anaemia are common in a geriatric medicine clinic and it is important to consider a wide range of underlying diagnoses. We present an unusual case of anaemia in an octogenarian in whom a diagnosis of visceral leishmaniasis was made. This is a rare and unusual diagnosis in this cohort of patients, especially within the UK; however, it is important to identify it, given its high mortality if left untreated. Our case, presumably contracted while in Andalucia, Spain, highlights the need for awareness in this group of patients, especially when travel within Europe is becoming commonplace.
在老年医学诊所中,经常会有因贫血而进一步接受检查的老年患者,因此需要考虑广泛的潜在诊断。我们呈现了一个罕见的 80 多岁老年贫血病例,诊断为内脏利什曼病。在这组患者中,尤其是在英国,这种诊断非常罕见,但由于未经治疗会导致高死亡率,因此识别它非常重要。我们的病例可能是在西班牙安达卢西亚感染的,这凸显了在这一人群中提高认识的必要性,尤其是在欧洲旅行变得越来越普遍的情况下。