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印度古吉拉特邦农村一名幼儿的锥虫病

Trypanosomiasis in a Young Infant from Rural Gujarat, India.

作者信息

Bharodiya Dilip, Singhal Tanu, Kasodariya G S, Banerjee P S, Garg Rajat

机构信息

Department of Pediatrics, Apple Hospital, Surat, Rajasthan, India.

Kokilaben Dhirubhai Ambani Hospital and Medical Research Institute, Andheri West, Mumbai, India. Correspondence to: Dr. Tanu Singhal, Department of Pediatrics, Kokilaben Dhirubhai Ambani Hospital and Medical Research Institute, Andheri West, Mumbai, India.

出版信息

Indian Pediatr. 2018 Jan 15;55(1):69-70.

Abstract

BACKGROUND

Human trypansomiasis due to infection by animal trypanosomes is rarely reported from India.

CASE CHARACTERISTICS

We describe clinical presentation of a 2-month-old boyfrom a rat infested house in rural Gujarat who was diagnosed to be havinginfection with the rodent parasite Trypanosoma lewisi.

OBSERVATION

The fever and parasitemia resolved on treatment with liposomal amphotericin B, Ceftriaxone and Amikacin, and there was no recurrence of parasitemia over a 2 month follow-up.

MESSAGE

The case highlights the need for increased awareness and heightened surveillance for this rare zoonotic infection.

摘要

背景

印度鲜有因感染动物锥虫而导致人体锥虫病的报道。

病例特征

我们描述了一名来自古吉拉特邦农村一个鼠患严重家庭的2个月大男婴的临床表现,该男婴被诊断感染了啮齿动物寄生虫路氏锥虫。

观察结果

使用脂质体两性霉素B、头孢曲松和阿米卡星治疗后,发热和寄生虫血症消退,在2个月的随访中未出现寄生虫血症复发。

启示

该病例凸显了提高对这种罕见人畜共患感染的认识并加强监测的必要性。

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