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利什曼病和兔热病合并感染：一例被忽视的颈部淋巴结病病因病例报告

Leishmaniasis and Tularemia Coinfection: A Case Report of Neglected Causes of Cervical Lymphadenopathy.

作者信息

Grigoryan Mark, Manukyan Violeta, Grigoryan Tatevik, Apresyan Hripsime

机构信息

Infectious Diseases, Muratsan University Hospital Complex, Yerevan, ARM.

Infectious Diseases, Yerevan State Medical University, Yerevan, ARM.

出版信息

Cureus. 2024 Jul 15;16(7):e64605. doi: 10.7759/cureus.64605. eCollection 2024 Jul.

DOI:10.7759/cureus.64605
PMID:39144867
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11324269/
Abstract

Leishmania and tularemia are infectious diseases that both can present with lymphadenopathy. Leishmania typically causes visceral or cutaneous forms, while tularemia can result in glandular tularemia characterized by lymphadenitis. We report a case of a patient presenting with localized cervical lymphadenopathy diagnosed with both leishmaniasis and tularemia. This case underscores the importance of considering both pathogenic agents in the differential diagnosis of localized lymphadenitis. Early treatment is crucial to prevent the dissemination of these infections.

摘要

利什曼病和兔热病是两种都可表现为淋巴结病的传染病。利什曼病通常引起内脏型或皮肤型，而兔热病可导致以淋巴结炎为特征的腺型兔热病。我们报告一例表现为局限性颈部淋巴结病的患者，诊断为利什曼病和兔热病。该病例强调了在局限性淋巴结炎的鉴别诊断中考虑这两种病原体的重要性。早期治疗对于预防这些感染的传播至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44f5/11324269/d81e08e7146c/cureus-0016-00000064605-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44f5/11324269/e33b19d11d28/cureus-0016-00000064605-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44f5/11324269/c713b193816f/cureus-0016-00000064605-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44f5/11324269/a8c086588714/cureus-0016-00000064605-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44f5/11324269/d81e08e7146c/cureus-0016-00000064605-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44f5/11324269/e33b19d11d28/cureus-0016-00000064605-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44f5/11324269/c713b193816f/cureus-0016-00000064605-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44f5/11324269/a8c086588714/cureus-0016-00000064605-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44f5/11324269/d81e08e7146c/cureus-0016-00000064605-i04.jpg

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本文引用的文献

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An approach to cervical lymphadenopathy in children.儿童颈部淋巴结病的处理方法。
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Etiologies of Pediatric Cervical Lymphadenopathy: A Systematic Review of 2687 Subjects.小儿颈淋巴结病的病因：对2687例受试者的系统评价
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内脏利什曼病的临床方面由婴儿利什曼原虫引起。在欧洲最大爆发的十年经验：我们学到了什么？
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