Gomila H Andrés, Vanzo Carolina, Garnero Analía, Peruzzo Luisina, Badalotti Mónica
Servicio de Clínica Pediátrica, División Infectología. Hospital de Niños de la Santísima Trinidad, Córdoba, Argentina.
Servicio de Clínica Pediátrica, División Internación. Hospital de Niños de la Santísima Trinidad, Córdoba, Argentina.
Arch Argent Pediatr. 2017 Aug 1;115(4):e251-e254. doi: 10.5546/aap.2017.e251.
Leishmaniasis is a disease caused by obligate intracellular parasites of the genus Leishmania. There are three main clinical forms of leishmaniasis: cutaneous, visceral and mucocutaneous. It belongs to the diverse group of the tropical “neglected diseases” and is the only tropical vector-borne disease that has remained endemic to southern Europe for decades. Visceral leishmaniasis represents the most serious clinical syndrome. It is characterized by fever, weight loss, anemia and enlargement of the spleen and liver. Incubation period is usually from 2 weeks to 18 months. Leishmaniasis is considered a worldwide reemerging disease. Some of the factors that favor this situation are the changes in the climatic conditions, migrations and urbanizations deficient in environmental sanitation. We report an interesting case of an European child who was spending holidays in Cordoba and presented to our hospital with fever and pancytopenia, motivating a multidisciplinary approach with favorable clinical outcome.
利什曼病是一种由利什曼原虫属专性细胞内寄生虫引起的疾病。利什曼病有三种主要临床类型:皮肤型、内脏型和黏膜皮肤型。它属于热带“被忽视疾病”这一多样的疾病群体,并且是几十年来一直流行于南欧的唯一热带媒介传播疾病。内脏利什曼病是最严重的临床综合征。其特征为发热、体重减轻、贫血以及脾脏和肝脏肿大。潜伏期通常为2周至18个月。利什曼病被认为是一种在全球范围内再度出现的疾病。促成这种情况的一些因素包括气候条件变化、移民以及环境卫生条件差的城市化进程。我们报告了一例有趣的病例,一名在科尔多瓦度假的欧洲儿童因发热和全血细胞减少症前来我院就诊,促使我们采取多学科方法并取得了良好的临床结果。