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揭示内脏利什曼病:肾病综合征作为摩洛哥一种罕见的儿科并发症

Unmasking Visceral Leishmaniasis: Nephrotic Syndrome as a Rare Pediatric Complication in Morocco.

作者信息

Kassal Ghizlane, Nassih Houda, Elqadiry Rabiy, Bourrahouat Aicha, Aitsab Imane

机构信息

Department of Pediatrics, University Hospital Center Mohammed VI, Marrakech, MAR.

出版信息

Cureus. 2025 Apr 18;17(4):e82540. doi: 10.7759/cureus.82540. eCollection 2025 Apr.

Abstract

Nephrotic syndrome in children with visceral leishmaniasis (VL) is an uncommon presentation, often accompanied by other clinical signs such as febrile splenomegaly. This report highlights two cases of VL in immunocompetent children admitted to Mohamed VI University Hospital in Marrakech, who developed nephrotic syndrome as a complication. One child unfortunately passed away, while the other responded well to treatment with corticosteroids and pentavalent antimonial drugs, showing favorable clinical progress. This rare condition underscores the need to raise awareness among clinicians to facilitate early diagnosis and prompt treatment.

摘要

内脏利什曼病(VL)患儿出现肾病综合征是一种不常见的表现,常伴有其他临床体征,如发热性脾肿大。本报告重点介绍了两名免疫功能正常的儿童,他们因患VL入住马拉喀什的穆罕默德六世大学医院,并出现了肾病综合征这一并发症。一名儿童不幸去世,另一名儿童对皮质类固醇和五价锑药物治疗反应良好,临床进展良好。这种罕见情况凸显了提高临床医生认识以促进早期诊断和及时治疗的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98f0/12086001/8142b2ede254/cureus-0017-00000082540-i01.jpg

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