[Visceral leishmaniasis in Xinjiang Uygur Autonomous Region during the COVID-19 pandemic: a case report].
Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi
; 35(2): 213-216, 2023 Apr 25.
Article
in Chinese
| MEDLINE | ID: covidwho-20239137
ABSTRACT
OBJECTIVE:
To perform an epidemiological investigation on a case of visceral leishmaniasis reported from Shule County, Kashi Prefecture, Xinjiang Uygur Autonomous Region in 2021, so as to provide insights into differential diagnosis of visceral leishmaniasis during the COVID-19 pandemic.METHODS:
The epidemiological history of this case was collected, and the case was diagnosed for Leishmania infection with the immunochromatographic (rK39) strip test, bone marrow smear microscopy and PCR assay.RESULTS:
The patient had typical clinical symptoms of leishmaniasis, including irregular fever, hepatosplenomeg- aly, low serum albumin and elevated globulin. Bone marrow smear microscopy identified L. donovani amastigotes, and both rK39 strip test and PCR assay were positive, while the case was tested negative for SARS-CoV-2. COVID-19 was therefore excluded and visceral leishmaniasis was diagnosed. Standard full-dose treatment with sodium stibogluconate was given, and no Leishmania was found on blood smears during the reexamination. No recurrence was found during the followup after discharge for hospital.CONCLUSIONS:
During the COVID-19 pandemic, it is recommended to increase the perception of differential diagnosis of visceral leishmaniasis among first-contact doctors, and reinforce the capability of differential diagnosis and health education of visceral leishmaniasis among medical and healthcare institutions at all levels, to prevent missed diagnosis and misdiagnosis of visceral leishmaniasis.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Leishmania donovani
/
COVID-19
/
Leishmaniasis, Visceral
Type of study:
Case report
/
Diagnostic study
/
Observational study
/
Prognostic study
Limits:
Humans
Language:
Chinese
Journal:
Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi
Year:
2023
Document Type:
Article
Affiliation country:
J.32.1374.2022209
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