RESUMO
Visceral leishmaniasis is mostly subclinical, but it can become symptomatic and take acute, subacute or chronic forms. Its incubation period varies from weeks to months and can even be as long as years. Avast variety of organ involvement may be there. We report a case of osseous leishmaniasis presenting with only a long standing mild knee pain without any laboratory or organ abnormality and showed a pure bone involvement on X-ray and CTscan. Later on, it developed into a discharging sinus and the discharge showed Leishman bodies which was reconfirmed the rough bite. As the patient had reactions with amphotericin B, systemic glucantine was given which led to clinical improvement and smaller radiological lesion.
Assuntos
Medula Óssea/patologia , Leishmania/isolamento & purificação , Leishmaniose Visceral/diagnóstico , Anfotericina B/uso terapêutico , Anticorpos Antiprotozoários/sangue , Antiprotozoários/uso terapêutico , Medula Óssea/microbiologia , Fêmur , Humanos , Joelho/diagnóstico por imagem , Leishmaniose Visceral/tratamento farmacológico , Meglumina/uso terapêutico , Antimoniato de Meglumina , Compostos Organometálicos/uso terapêutico , Tomografia Computadorizada por Raios X , Resultado do TratamentoRESUMO
Hydatid disease of the bone usually is asymptomatic and is found as an accidental finding during unrelated imaging. However, they can become symptomatic due to enlargement and pressure effect or being infected by bacteria. Hydatid disease usually involves multiple organs (such as liver, lungs and brain). In our case, hydatid disease had involved bone and the patient presented only with a chronic hip pain without other symptom or sign. Here, a case of isolated ilium hydatidosis is reported.
