Terra L, Pellicanò S, Allò M
Divisione Malattie Infettive, Ospedale S. Giovanni di Dio, USL n. 5, Crotone.
Minerva Med. 1996 Jun;87(6):317-9.
The authors describe a case of visceral leishmaniasis in an intravenous drug abuser, HIV seropositive patient. Visceral leishmaniasis was the first opportunist infection and diagnosis was based on smear from bone marrow. A treatment with N-methylglucamine and allopurinol was successful. The authors stress to take into account visceral leishmaniasis in HIV-infected patient in act resident or in past lived in endemic for Leishmania areas even in presence of atypical clinical features and propose to include visceral leishmaniasis as an opportunist infection in the IVC-2 group of clinical classification of HIV infection.
作者描述了一例静脉注射吸毒者、HIV血清阳性患者的内脏利什曼病病例。内脏利什曼病是首例机会性感染，诊断基于骨髓涂片。使用N-甲基葡糖胺和别嘌醇治疗成功。作者强调，即使存在非典型临床特征，对于现居住在或过去曾居住在利什曼原虫流行地区的HIV感染患者，也应考虑内脏利什曼病，并建议将内脏利什曼病纳入HIV感染临床分类的IVC-2组机会性感染。
