DOI: https://doi.org/10.22141/2224-0551.8.51.2013.85108

Will We be Helped from Abroad? A Case of Visceral Leishmaniasisis in Crimea

I.V. Bogadelnikov, S.V. Usova, A.V. Bobrysheva, Т.N. Bezdolnaya, Ye.M. Soboleva

Abstract


The article presents a case of non-endemic, rare disease in the Crimea — the visceral form of leishmaniasis in 11-month-old child, which clinically occurs with prolonged fever, hepatolienal syndrome with manifestations of hepatitis, anemia, thrombocytopenia. Establishing final definitive diagnosis was preceded by diagnoses: acute intestinal infection, salmonellosis, hepatitis, fever of unknown origin, cytomegalovirus infection. The final diagnosis — visceral leishmaniasis was made in Israel by the results of liver biopsy with the discovery of Leishman — Donovan bodies. The child was treated with AmBisome (liposomal amphotericin B). After the treatment the child with his recovery returned to Ukraine. It is suggested that the above incident was a manifestation of the course of multicomponent non-cyclic infectious process.


Keywords


leishmaniasis; children; hepatolienal syndrome; non-cyclic infectious process

References


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Андрейчин М.А. Відкриття збудників інфекційних хвороб: сучасні досягнення і перспектива / М. Андрейчин // Тернопільський осередок Наукового товариства ім. Т. Шевченка. Збірник праць. Том 5. Нобелівський рух України. — Тернопіль: Джура, 2010. — С. 204-223.

Супотницкий М.В. Эволюционная патология. — М., 2009.






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