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Related Experiment Videos

Visceral leishmaniasis after cardiac surgery

D Cummins1, S Amin, O Halil

  • 1Department of Haematology, Harefield Hospital, Middlesex.

Archives of Disease in Childhood
|March 1, 1995
PubMed
Summary

Visceral leishmaniasis (kala-azar) can occur in non-travelers, potentially transmitted via blood transfusion. This highlights the need to consider kala-azar in unexplained fever cases, even without foreign travel history.

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Area of Science:

  • Medicine
  • Infectious Diseases
  • Parasitology

Background:

  • Visceral leishmaniasis (kala-azar) is typically associated with travel to endemic regions.
  • Diagnosis often relies on travel history and characteristic clinical signs.

Observation:

  • An English child, with no history of foreign travel, developed visceral leishmaniasis post-cardiac surgery.
  • The likely transmission route identified was blood transfusion.

Findings:

  • This case suggests non-travel-related transmission of visceral leishmaniasis is possible.
  • Blood transfusion emerged as a probable vector for parasite transmission in this patient.

Implications:

  • Clinicians should consider visceral leishmaniasis in patients presenting with unexplained fever and hepatosplenomegaly, irrespective of travel history.

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  • The findings necessitate a review of blood transfusion safety protocols for leishmaniasis in non-endemic areas.