17个月大的女性内脏莱什曼病的诊断挑战:一个病例报告
Ahmed Sheikh Sobeh1, Manal Soufan1, Tasneem Sarakbi2
1Faculty of Medicine Hama University Hama Syria.
Clinical case reports
|November 19, 2025
概括
内脏莱什曼病 (VL) 是一种罕见的疾病. 本案例报告强调了一个成功治疗VL的儿童,强调在患有持续发烧和大的患者的早期诊断,即使在特有地区之外.
科学领域:
- 传染性疾病 传染性疾病
- 儿科 儿科 儿科
- 寄生虫学的寄生虫学
背景情况:
- 内脏莱什曼病 (VL) 是一种罕见但严重的传染病.
- 早期识别对于有效治疗和改善患者治疗结果至关重要.
- 诊断可能具有挑战性,特别是在非特有地区.
研究的目的:
- 报告一个小孩内脏莱什曼病的病例.
- 突出考虑VL在持续发烧和脊髓巨变的差异诊断中的重要性.
- 为了强调成功的治疗结果与美格胺抗酸盐.
主要方法:
- 一个17个月大的孩子患有不明原因的发烧和大病的案例介绍.
- 诊断工作包括骨髓吸血.
- 用美格胺抗酸盐进行治疗.
主要成果:
- 这个孩子出现了持续的发烧和脊髓巨变,对抗生素没有反应.
- 骨髓吸入证实了内脏莱什曼病.
- 这位患者对梅格卢明抗酸盐治疗的临床反应是成功的.
结论:
- 在对持续发烧和大病的差异诊断中,无论地理来源如何,都应考虑内脏莱什曼病.
- 及时诊断和适当的治疗,比如用美格胺抗酸盐,会带来有利的结果.
- 这一案例凸显了对儿科患者罕见疾病的临床警的重要性.
相关概念视频
Leishmaniasis
Leishmaniasis is a protozoal disease caused by species of the genus Leishmania and transmitted through the bite of infected female sandflies. The parasite exists in two principal morphological forms during its life cycle. A sandfly acquires intracellular amastigotes from an infected reservoir host, such as a dog. Within the sandfly, these forms differentiate into motile, flagellated promastigotes. During a subsequent blood meal, promastigotes are injected into the human host, where they...
Toxoplasmosis
Toxoplasmosis, a zoonotic disease caused by the protozoan Toxoplasma gondii, poses significant public health challenges globally due to its high seroprevalence and varied clinical manifestations. As an obligate intracellular parasite, T. gondii can infect all warm-blooded vertebrates, but felids are its only definitive hosts, shedding unsporulated oocysts into the environment. Humans typically acquire the infection through ingestion of tissue cysts in undercooked meat or oocysts from...
Antiprotozoal Agents
Leishmaniasis is a widespread parasitic disease caused by several Leishmania species. It affects millions of people each year and remains a major public health problem in endemic regions. First-line treatment relies on pentavalent antimonials, including meglumine antimoniate and sodium stibogluconate. Even so, how these drugs work has not been fully clear, especially their interaction with parasite-specific biochemical pathways. One key target is trypanothione reductase (TR), an enzyme that...


