Alamin Amin A
Department of Pathology, College of Medicine, University of Al-Taif, Al-Taif, SAU.
Cureus. 2020 Nov 3;12(11):e11318. doi: 10.7759/cureus.11318.
Visceral leishmaniasis is endemic in the western states of Eritrea, but it is rare in the city of Asmara. We report a case of an 18-month-old female with a high-grade fever, weight loss, and hepatosplenomegaly. No obvious cause of her illness was found. Routine blood investigations showed pancytopenia, and microscopic examination of bone marrow revealed intracellular and extracellular Leishmania amastigotes, so a diagnosis of leishmaniasis (kala-azar) was finally made. Visceral leishmaniasis should be considered when a child presents with fever, weight loss, organomegaly, and pancytopenia.
内脏利什曼病在厄立特里亚西部各州为地方病，但在阿斯马拉市较为罕见。我们报告一例18个月大的女性病例，该患者有高热、体重减轻和肝脾肿大症状。未发现其患病的明显病因。常规血液检查显示全血细胞减少，骨髓显微镜检查发现细胞内和细胞外利什曼原虫无鞭毛体，最终确诊为利什曼病（黑热病）。当儿童出现发热、体重减轻、器官肿大和全血细胞减少时，应考虑内脏利什曼病。
