人类内脏利什曼病的8年回顾性研究。
An 8-Year Retrospective Study of Human Visceral Leishmaniasis.
作者信息
Barbosa Juliana F, de Figueiredo Sonia M, Lyon Sandra, Caligiorne Rachel B
机构信息
Nucleo de Pos-Graduacao e Pesquisa da Santa Casa de Belo Horizonte, Rua Domingos Vieira, 590, CEP: 30150240-Belo Horizonte, MG, Brazil.
出版信息
Curr Clin Pharmacol. 2016;11(4):265-269. doi: 10.2174/1574884711666160921100617.
BACKGROUND
Visceral leishmaniasis (VL) is a zooanthroponosis affecting both rural and periurban areas, and can also spread into urban areas. VL has emerged in many countries in the world, presenting new cases in new countries of occurrence. Thus, studies concerning epidemiological aspects in different world regions are very meaningful.
METHODS
With this purpose, this study analyzed 89 cases of VL, treated between June 2006 and June 2014 at Eduardo de Menezes Hospital (HEM), a Reference Center of Infectious Diseases situated in Belo Horizonte, in Minas Gerais state, Brazil.
RESULTS
According to the results, it was observed that males are mostly infected (84%/n=75) and the most affected age range was 20-49 years old (83%/n=74). The treatment liposomal amphotericin B (33%/n=29) was mostly used. Recurrences were more frequent in patients treated with Glucantime® (17%/n=9). No side effects were reported among the 29 patients treated with liposomal amphotericin B. On the other hand, there were 23 cases related to the occurrence of acute renal failure (ARF) and the use of conventional amphotericin B, both when it was administered alone or in combination with other drugs. Additionally, we observed a close relationship between the VL and HIV infection, observing a coinfection rate of 28.1% (n=25).
CONCLUSION
From the survey data, it was possible to conclude that the majority of VL patient treated at HEM is male, classified as brown racial group, economically active, and may be drug addicts, chronic alcoholics and/or smokers. They may present some Non-communicable diseases (NCD), such as hypertension, diabetes mellitus, dyslipidemia and/or obesity and, predominantly present a great chance of being a carrier of the Human Immunodeficiency Virus, associated or not with tuberculosis. As symptoms, these patients possibly will present hepatosplenomegaly, fever and pronounced weight loss.
背景
内脏利什曼病(VL)是一种人畜共患病,影响农村和城市周边地区,也可蔓延至城市地区。VL已在世界许多国家出现,在新的发病国家出现了新病例。因此,关于世界不同地区流行病学方面的研究非常有意义。
方法
为此,本研究分析了2006年6月至2014年6月期间在位于巴西米纳斯吉拉斯州贝洛奥里藏特的传染病参考中心爱德华多·德·梅内塞斯医院(HEM)接受治疗的89例VL病例。
结果
根据结果观察到,男性感染居多(84%/n = 75),受影响最严重的年龄范围是20 - 49岁(83%/n = 74)。最常使用的治疗药物是脂质体两性霉素B(33%/n = 29)。使用葡糖胺锑钠(Glucantime®)治疗的患者复发更频繁(17%/n = 9)。在接受脂质体两性霉素B治疗的29例患者中未报告有副作用。另一方面,有23例与急性肾衰竭(ARF)的发生以及传统两性霉素B的使用有关,无论是单独使用还是与其他药物联合使用。此外,我们观察到VL与HIV感染之间存在密切关系,共感染率为28.1%(n = 25)。
结论
从调查数据可以得出结论,在HEM接受治疗的大多数VL患者为男性,属于棕色种族群体,有经济活动能力,可能是吸毒者、慢性酗酒者和/或吸烟者。他们可能患有一些非传染性疾病(NCD),如高血压、糖尿病、血脂异常和/或肥胖,并且主要有很大几率是人类免疫缺陷病毒携带者,与结核病相关或无关。作为症状,这些患者可能会出现肝脾肿大、发热和明显体重减轻。