EXPANSION OF VISCERAL LEISHMANIASIS IN THE STATE OF RIO DE JANEIRO, BRAZIL: REPORT OF THE FIRST AUTOCHTHONOUS CASE IN THE MUNICIPALITY OF VOLTA REDONDA AND THE DIFFICULTY OF DIAGNOSIS

被引：3

作者：

Conde Sangenis, Luiz Henrique ^{[1
,2
]}

de Almeida Lima, Sebastiao Roberto ^{[3
]}

de Mello, Cintia Xavier ^{[4
]}

Cardoso, Daniela Trindade ^{[3
]}

Mello, Jurema Nunes ^{[1
]}

Carvalho do Espirito Santo, Maria Cristina ^{[1
]}

Tavares, Walter ^{[1
]}

机构：

[1] Univ Ctr Volta Redonda, Sch Med, Discipline Infect & Parasit Dis, Rio De Janeiro, Brazil

[2] Fundacao Oswaldo Cruz, Evandro Chagas Clin Res Inst, Clin Res Lab Chagas Dis, Rio De Janeiro, Brazil

[3] Univ Ctr Volta Redonda, Sch Med, Discipline Pediat, Rio De Janeiro, Brazil

[4] Fundacao Oswaldo Cruz, Evandro Chagas Clin Res Inst, Lab Leishmaniasis Surveillance, Rio De Janeiro, Brazil

来源：

REVISTA DO INSTITUTO DE MEDICINA TROPICAL DE SAO PAULO | 2014年 / 56卷 / 03期

关键词：

Visceral Leishmaniasis; Kala-azar; Epidemiology; Rio de Janeiro; CAT-SCRATCH DISEASE;

D O I：

10.1590/S0036-46652014000300015

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

Visceral Leishmaniasis has been showing remarkable epidemiological changes in recent decades, with marked expansion and an emergence of cases in urban areas of the North, Southeast and Midwest regions of Brazil. The Kala-azar cases reported here, despite being very characteristic, presented a great difficulty of diagnosis, because the disease is not endemic in Volta Redonda. The child underwent two hospitalizations in different hospitals, but got the correct diagnosis only after 11 months of symptom onset. In this report we discuss the main differential diagnoses and call attention to the suspected symptoms of visceral leishmaniasis in patients with prolonged fever, hepatosplenomegaly and pancytopenia, even in areas not traditionally endemic for the disease.

引用

页码：271 / 274

页数：4

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