Meunier Yann A, Hole Michael K
Stanford Hospital & Clinics;
Stanford University School of Medicine, Stanford, CA, USA.
Clin Pract. 2011 Apr 26;1(2):e27. doi: 10.4081/cp.2011.e27. eCollection 2011 May 16.
We report the case of a six-year-old Brazilian girl referred for splenomegaly who first presented with fever, asthenia, and weight loss. Geographical location, clinical exam, and blood laboratories suggested kala-azar. Serology confirmed kala-azar diagnosis, but direct evidence of the parasites was not made. A treatment by meglumine antimoniate is given under hospital surveillance for two weeks. Thereupon, the patient is asymptomatic and all tests are normal.
我们报告了一例因脾肿大而转诊的6岁巴西女孩的病例，该女孩最初表现为发热、乏力和体重减轻。地理位置、临床检查和血液实验室检查提示为黑热病。血清学检查确诊为黑热病，但未发现寄生虫的直接证据。在医院监测下给予葡甲胺锑酸盐治疗两周。此后，患者无症状，所有检查均正常。
