Case Report: Visceral Leishmaniasis with Salmonella Paratyphi and Brucella melitensis Coinfection as a Cause of Persistent Fever in a Patient from Sudan

Autor: François Chappuis, Marleen Boelaert, Kristien Verdonck, Jan Jacobs, Sayda El Safi, Hussam Elshikh, Nagwa El Amin, Enaam El Sanousi, Alfarazdag Mohammed
Rok vydání: 2018
Předmět:
Zdroj: The American Journal of Tropical Medicine and Hygiene
ISSN: 1476-1645
0002-9637
Popis: We describe the case of a 12-year-old boy from Sudan who presented with fever of 1-week duration, headache, cough, and vomiting. A set of diagnostic tests led to the diagnosis of three infectious diseases: visceral leishmaniasis (probable diagnosis based on positive direct agglutination test), enteric fever (blood culture grown with Salmonella Paratyphi), and brucellosis (blood culture grown with Brucella melitensis). The patient received specific treatment of the three infections and recovered. This case illustrates the occurrence and possible implications of coinfections in patients with persistent fever, including conditions that are hard to diagnose in field settings, such as brucellosis and enteric fever. ispartof: AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE vol:99 issue:5 pages:1150-1152 ispartof: location:United States status: published
Databáze: OpenAIRE