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一名大型社区医院急诊科收治的皮肤利什曼病罕见病例。

A Rare Case of Cutaneous Leishmaniasis Presenting to the Emergency Department of a Large Community Hospital.

作者信息

Wollet Cally, Milliron Melody L

机构信息

Emergency Medicine, Allegheny Health Network, Saint Vincent Hospital, Erie, USA.

出版信息

Cureus. 2024 Mar 21;16(3):e56658. doi: 10.7759/cureus.56658. eCollection 2024 Mar.

DOI:10.7759/cureus.56658
PMID:38646325
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11032212/
Abstract

Cutaneous leishmaniasis should be considered a possible cause of skin ulcers in a patient who has traveled abroad recently and comes to the emergency department (ED) for an assessment. Before getting an accurate diagnosis, ED assessment, and proper treatment with intravenous amphotericin B, the patient presented to several other healthcare providers. This case displays the importance of a multidisciplinary approach with consultation from infectious diseases to determine an accurate diagnosis and effective treatment plan for patients with cutaneous leishmaniasis.

摘要

对于近期出过国并前来急诊科（ED）进行评估的患者，皮肤利什曼病应被视为皮肤溃疡的可能病因。在获得准确诊断、进行急诊科评估并使用静脉注射两性霉素B进行适当治疗之前，该患者曾就诊于其他几位医疗服务提供者。本病例显示了多学科方法的重要性，即通过传染病科会诊来为皮肤利什曼病患者确定准确的诊断和有效的治疗方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d53/11032212/ed82fe2b3b29/cureus-0016-00000056658-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d53/11032212/ed82fe2b3b29/cureus-0016-00000056658-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d53/11032212/ed82fe2b3b29/cureus-0016-00000056658-i01.jpg

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A Rare Case of Cutaneous Leishmaniasis Presenting to the Emergency Department of a Large Community Hospital.一名大型社区医院急诊科收治的皮肤利什曼病罕见病例。
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本文引用的文献

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Host and parasite responses in human diffuse cutaneous leishmaniasis caused by L. amazonensis.由 L. amazonensis 引起的人类弥漫性皮肤利什曼病中的宿主和寄生虫反应。
PLoS Negl Trop Dis. 2019 Mar 7;13(3):e0007152. doi: 10.1371/journal.pntd.0007152. eCollection 2019 Mar.
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Efficacy of lapachol on treatment of cutaneous and visceral leishmaniasis.拉帕醇治疗皮肤利什曼病和内脏利什曼病的疗效。
Exp Parasitol. 2019 Apr;199:67-73. doi: 10.1016/j.exppara.2019.02.013. Epub 2019 Feb 21.
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Amphotericin B formulations: a comparative review of efficacy and toxicity.
两性霉素 B 制剂：疗效和毒性的比较评价。
Drugs. 2013 Jun;73(9):919-34. doi: 10.1007/s40265-013-0069-4.
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American cutaneous leishmaniasis: clinical, epidemiological and laboratory studies conducted at a university teaching hospital in Campo Grande, Mato Grosso do Sul, Brazil.美洲皮肤利什曼病：在巴西南马托格罗索州大坎普的一家大学教学医院开展的临床、流行病学及实验室研究
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Association of treatment of American cutaneous leishmaniasis prior to ulcer development with high rate of failure in northeastern Brazil.在巴西东北部，溃疡形成前治疗美洲皮肤利什曼病与高失败率相关。
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The American leishmaniases: some observations on their ecology and epidemiology.美洲利什曼病：关于其生态学和流行病学的一些观察
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