Visceral leishmaniasis (Kala-azar) without splenomegaly.
نویسنده
چکیده
trunk which spread to the palms and soles over the next few days. On day 5, she developed congestion of conjunctiva and of the oral cavity and on day 7 she had left focal seizures. She was admitted at a local hospital where her investigations revealed a Hb of 7.0 g/dL, a normal leukocyte count, and platelet count of 80,000/cc. Her CSF examination was not done. She received antibiotics and anti convulsants for a week. However since her fever did not resolve she was referred to us. On examination she was irritable, had a generalized maculopapular, petechial rash all over the body, including palms and soles. She had edema over the dorsum of hands and feet but no organomegaly, lymphadenopathy or meningeal signs. Her total leukocyte count was 29,800 per cu mm with polymorphs of 84%, platelet count was 4.5 lakhs, ESR was 60, and CRP was elevated. Weil Felix test was positive in a titre of 1: 160 for Proteus Ag Ox 19 and 1: 80 for Proteus Ag Ox K. She was started on oral doxycycline. She became afebrile in 48 hours.
منابع مشابه
Visceral Leishmaniasis without Fever in an 11-Month-Old Infant: a Rare Clinical Feature of Kala-azar
Visceral leishmaniasis or kala-azar is an endemic parasitic disease in some parts of the world which is characterized by fever, splenomegaly, and pancytopenia in most of the cases. Herein we report an 11 month-old male infant with diagnosis of kala-azar who presented with pallor, hepatosplenomegaly, failure to gain weight, and no history of fever. Surprisingly, fever started after beginning of ...
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Visceral leishmaniasis is a protozoar disease caused by L.donovani. Transmission to humans (incidental host) occurs via insect bite and the phlebotomous (female sand-fly) transmits the disease. Common presentations of the disease include hepatomegaly and splenomegaly, but fever, chills and night sweats may be part of the disease's symptoms. Lymphadenopathy without systemic manifestations i...
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Leishmaniasis is a major public health problem in various part of world; it has also emerged in new geographic areas and host populations. Visceral infection can remain subclinical or become symptomatic, with an acute, subacute or chronic course. Kala-azar, or visceral leishmaniasis (VL), presents as fever, pancytopenia and hypergammaglobulinaemia. The presence of splenomegaly is characteristic...
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A 55-year-old woman was presented with fever, splenomegaly, generalized lymphadenopathy and weight loss. The patient came from Sreepur, an endemic region of Kala-azar in Bangladesh. About 2 years back, the patient presented with fever and splenomegaly and on investigation, ICT for Kala-azar was found positive. Thus the patient was diagnosed as a case of visceral Leishmaniasis and was treated wi...
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Natural transmission of leishmaniasis is carried out by female sand flies. VL is a systemic disease characterised by prolonged fever, splenomegaly, hepatomegaly, weight loss, progressive anaemia, pancytopenia, and is complicated by serious infections. After recovery, some patients (50% in Sudan and 1 3% in India) develop post kala-azar dermal leishmaniasis (PKDL) characterised by depigmented ma...
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ورودعنوان ژورنال:
- Indian pediatrics
دوره 49 7 شماره
صفحات -
تاریخ انتشار 2012