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
概括
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.
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