Visceral Leishmaniasis in a Child
Journal of the Korean Association of Pediatric Surgeons
;
: 35-38, 2004.
Article
in Korean
| WPRIM
| ID: wpr-76725
ABSTRACT
Visceral leishmaniasis is a life-threatening systemic infection caused by a protozoa of the genus leishmania and transmitted by sandfly. We report the first case of visceral leishmanaisis in Korea. The patient was a one-year-old girl admitted with the symptoms of fever, abdominal distension, pancytopenia, and purpura. She traveled to Argentina 5 months ago, and has had symptoms such as fever and pale appearance. Laboratory findings were WBC, 12,680/mm3; Hg, 3.7g/dL; platelet, 100K; total bilirubin, 1.2mg/dL; AST/ALT, 48/10 U/L. CT scan and MRI showed hepato-splenomegaly. On laparotomy, excision of an accessory spleen and splenic hilar lymph nodes were performed. Many amastigotes were microscopically identified in histiocytes from the biopsy tissues. Sodium stibogluconate was administrated for 2 weeks, which did not relieve the symptoms. After administration of the additional Amphotericin B for 3 weeks, symptoms were improved.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pancytopenia
/
Argentina
/
Psychodidae
/
Purpura
/
Spleen
/
Bilirubin
/
Biopsy
/
Blood Platelets
/
Magnetic Resonance Imaging
/
Tomography, X-Ray Computed
Limits:
Child
/
Female
/
Humans
Country/Region as subject:
South America
/
Argentina
/
Asia
Language:
Korean
Journal:
Journal of the Korean Association of Pediatric Surgeons
Year:
2004
Type:
Article
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