Desmyttere S, Hachimi-Idrissi S, Otten J
A.Z.-Kinderen V.U.B.-Brussel.
Tijdschr Kindergeneeskd. 1993 Oct;61(5):182-5.
A 22-months old girl contracted visceral leishmaniasis during a vacation in Portugal, 12 months prior the manifestation of disease. She presented with fever, hepatosplenomegaly and pancytopenia. A serological test proved the diagnosis. Therapy with a pentavalent antimony drug brought about immediate improvement. Visceral leishmaniasis has to be suspected in individuals with fever, hepatosplenomegaly and pancytopenia who have resided in endemic areas (Mediterranean countries, India, East Africa, South America) during the previous years. If untreated, visceral leishmaniasis runs a fatal course. Therefore, early diagnosis by morphological and serological means and specific therapy with pentavalent antimony drugs are mandatory.
一名22个月大的女孩在葡萄牙度假期间感染了内脏利什曼病，发病前12个月感染。她出现发热、肝脾肿大和全血细胞减少。血清学检测确诊了该病。使用五价锑药物治疗后病情立即改善。对于既往曾居住在流行地区（地中海国家、印度、东非、南美）且出现发热、肝脾肿大和全血细胞减少的个体，必须怀疑内脏利什曼病。如果不治疗，内脏利什曼病会导致致命后果。因此，必须通过形态学和血清学方法进行早期诊断，并使用五价锑药物进行特异性治疗。
