Silva Guilherme Almeida Rosa da, Boechat Thiago de Oliveira, Ferry Fernando Raphael de Almeida, Pinto Jorge Francisco da Cunha, Azevedo Marcelo Costa Velho Mendes de, Carvalho Ricardo de Souza, Motta Rogerio Neves, Veras Mariana Ferreira
UNIRIO, Rio de JaneiroRJ, Brazil, UNIRIO, Professor of Internal Medicine, Rio de Janeiro, RJ, Brazil. E-mails:
HEMORIO, Rio de JaneiroRJ, Brazil, HEMORIO, Resident physician, Hematology, Rio de Janeiro, RJ, Brazil. E-mail:
Rev Inst Med Trop Sao Paulo. 2014 Jan-Feb;56(1):81-4. doi: 10.1590/S0036-46652014000100013.
Visceral leishmaniasis is an anthropozoonosis that is caused by protozoa of the genus Leishmania, especially Leishmania (Leishmania) infantum, and is transmitted to humans by the bite of sandflies of the genus Lutzomyia, such as Lutzomyia longipalpis. There are many reservoirs, including Canis familiaris. It is a chronic infectious disease with systemic involvement that is characterized by three phases: the initial period, the state period and the final period. The main symptoms are fever, malnutrition, hepatosplenomegaly, and pancytopenia. This article reports a case of a patient diagnosed with visceral leishmaniasis in the final period following autochthonous transmission in the urban area of Rio de Janeiro. The case reported here is considered by the Municipal Civil Defense and Health Surveillance of Rio de Janeiro to be the first instance of autochthonous visceral leishmaniasis in humans in the urban area of this city. The patient was discharged and is undergoing a follow-up at the outpatient clinic, demonstrating clinical improvement.
内脏利什曼病是一种人兽共患病，由利什曼原虫属的原生动物引起，尤其是婴儿利什曼原虫（利什曼原虫），并通过罗蛉属的白蛉叮咬传播给人类，如长须罗蛉。有许多宿主，包括家犬。它是一种累及全身的慢性传染病，具有三个阶段：初期、静止期和终末期。主要症状为发热、营养不良、肝脾肿大和全血细胞减少。本文报告了一例在里约热内卢市区经本地传播后被诊断为终末期内脏利什曼病的患者。里约热内卢市民防和卫生监督部门认为，此处报告的病例是该市市区人类首例本地内脏利什曼病。该患者已出院，正在门诊接受随访，显示出临床改善。
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