A case report of visceral leishmaniasis and malaria co-infection with pancytopenia and splenomegaly - a diagnostic challenge.

Autor: Ghimire PG; Department of Pathology, Nepalgunj Medical College and Teaching Hospital, Kohalpur, Banke, 21904, Nepal. drpragya@gmail.com., Ghimire P; Department of Radiology, Nepalgunj Medical College and Teaching Hospital, Banke, 21904, Banke, Nepal., Adhikari J; Department of Pediatrics, Nepalgunj Medical College and Teaching Hospital, Banke, 21904, Banke, Nepal., Chapagain A; Department of Emergency, Bheri Provincial Hospital, Banke, Banke, Nepal.
Jazyk: angličtina
Zdroj: BMC infectious diseases [BMC Infect Dis] 2019 Oct 15; Vol. 19 (1), pp. 849. Date of Electronic Publication: 2019 Oct 15.
DOI: 10.1186/s12879-019-4478-1
Abstrakt: Background: Leishmaniasis and malaria are tropical diseases with more than half of the world population at risk of infection resulting in significant morbidity and mortality. Co-infection of Leishmaniasis and malaria pose a great challenge in the diagnosis as well as overall management.
Case Presentation: In this case report, we present a rare case of a 5 years old child hailing from non-endemic region of Nepal with history of fever for a period of 3 months who was diagnosed as co-infection of malaria due to Plasmodium vivax and visceral Leishmaniasis with pancytopenia that subsequently improved after a course of treatment.
Conclusions: A high index of suspicion for a possibility of co-infection with Leishmaniasis and malaria should be borne in mind when an individual hailing from or having history of travel to endemic countries presents with prolonged fever.
Databáze: MEDLINE
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