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在膜液中隔离的复发性莱什曼病感染

Hina Qiam1, Emily Lowe1, Adriel Heilong Fung2,3

  • 1Respiratory Medicine, Norfolk and Norwich University Hospitals NHS Foundation Trust, Norwich, UK.

BMJ case reports
|March 13, 2024
PubMed

Insights

这项案例研究突出了一个罕见的复发性内脏莱什曼病病例,该病例发生在一名老年妇女身上,她呈现出胸腔溢液. 及时的多液分析对于诊断雷什曼病复发至关重要.

科学领域:

  • 传染性疾病 传染性疾病
  • 寄生虫学的寄生虫学
  • 内部医学 内部医学

背景情况:

  • 内脏莱什曼病是一种严重的寄生虫病,通常用药物治疗.
  • 治疗后可能会出现复发,特别是在免疫受损或老年患者中.
  • 诊断通常涉及骨髓活检,但在特定情况下,胸腔液分析可能是至关重要的.

研究的目的:

  • 报告一个罕见的复发性内脏莱什曼病的病例.
  • 为了强调胸腔液分析的诊断价值.
  • 为了强调怀疑莱什曼病复发的重要性.

主要方法:

  • 一个老年女性患者的病例报告.
  • 通过骨髓活检对内脏莱什曼病的初步诊断.
  • 随后对复发症状进行检查,包括多叶膜溢出.
  • 从膜液中分离出Leishmania寄生虫.

主要成果:

  • 患者经历了内脏莱什曼病的复发,并出现了多发性输液,低蛋白质血和细胞衰减.
  • 在膜液中成功鉴定出莱什曼病.
  • 患者接受了针对复发性感染的治疗.

结论:

  • 在以前接受过治疗的患者中,如果出现暗示性症状,应考虑复发的内脏莱什曼病.
  • 胸腔液分析是怀疑莱什曼病复发的有价值的诊断工具.
  • 及时诊断和治疗对于管理复发性莱什曼病症至关重要.
抽象的

No abstract available in PubMed .

关键词:
血液学 (包括输血)腹部感染 腹部感染呼吸系统药物 呼吸系统药物旅行医药 旅行医药热带医学 (传染病)

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