A case of visceral leishmaniasis and pulmonary tuberculosis in a post-partum woman

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Claudia Colomba1, Lucia Adamoli1, Marcello Trizzino1

  • 1Dipartimento di Scienze per la promozione della salute e materno-infantile, Università di Palermo, Italy.

International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases
|December 20, 2014
PubMed

Visceral leishmaniasis due to Leishmania infantum is a vector-borne zoonotic disease transmitted by sand fly bites endemic in rural or periurban areas of the Mediterranean basin. Pregnancy is accompanied by changes in immune response, mainly a decrease in cellular immunity and a proportional increase in humoral immunity. These physiological events result in increased risk of infection by pathogens whose immunity is based on a T-helper 1 predominant response. We describe a case of visceral leishmaniasis and pulmonary tuberculosis diagnosed in a post-partum woman four days after delivery. The diagnosis of leishmaniasis should be considered in pregnant women with fever and haematologic abnormalities in endemic regions or if a history of exposure in endemic areas is reported.

Keywords:
PregnancyPulmonary TuberculosisVisceral leishmaniasis

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