移植患者的皮肤莱什曼病:在非流行性环境中的诊断挑战
Zishan Nasir1, Bushra M Abdallah2,3, Mohamed Aboukamar4
1Division of Nephrology, Department of Medicine, Hazm Mebaireek General Hospital, Hamad Medical Corporation, Doha, Qatar.
IDCases
|August 11, 2025
概括
在尼泊尔,一个免疫力低下的移植患者被诊断出Leishmaniasis,一种严重的感染. 早期诊断和使用脂质体安二乙的治疗导致了积极的结果.
科学领域:
- 医学真菌学 医学真菌学
- 传染性疾病 传染性疾病
- 移植手术 移植手术
背景情况:
- 莱什曼病毒感染带来了显著的发病率和死亡率风险,尽管在东南亚和中亚并不常见.
- 免疫功能低下的个体,特别是移植接受者,患机会性感染的风险更高.
研究的目的:
- 在移植接受者中报告皮肤莱什曼病的病例.
- 强调在来自特有地区的免疫功能低下患者皮肤病变的差异诊断中考虑莱什曼病的重要性.
主要方法:
- 一个年轻的尼泊尔男性患有慢性异位移植功能障碍的病例报告.
- 右胸部皮肤病变和发烧的临床表现.
- 诊断调查包括皮肤活检.
主要成果:
- 皮肤活检证实了皮肤莱什曼病.
- 患者对脂质体安福特里辛B治疗表现出良好的反应.
结论:
- 在免疫功能低下个体的皮肤病变的差异诊断中,应考虑皮肤莱什曼病,特别是那些来自或曾前往特有地区的人.
- 及时诊断和适当的治疗对于治疗移植受体的莱什曼病至关重要.
相关概念视频
Kidney Transplant I: Introduction
60
A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
60
Kidney Transplant III: Nursing Management
81
Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
81
Kidney Transplant II: Surgical Procedure
75
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
75
Pulmonary Tuberculosis I
324
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
324
Acute Kidney Injury IV: Diagnostic Studies and Prevention
57
Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
57


