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A leishmaniose visceral ainda deve ser lembrada no diagnóstico diferencial de hepatoesplenomegalia febril? Revisão bibliográfica e relato de caso / Should visceral leishmaniasis still be remembered in the differential diagnosis of febrile hepatosplenomegaly? Literature review and case report
Me Lin Ie, Jéssica; Digiéri, André Luís; Fey, Carolina; Carvalho, Marcia Scolfaro.
Affiliation
  • Me Lin Ie, Jéssica; Hospital Municipal Dr. Mário Gatti. Campinas, SP. BR
  • Digiéri, André Luís; Hospital Municipal Dr. Mário Gatti. Campinas, SP. BR
  • Fey, Carolina; Faculdade de Medicina e Odontologia São Leopoldo Mandic. Campinas, SP. BR
  • Carvalho, Marcia Scolfaro; Faculdade de Medicina e Odontologia São Leopoldo Mandic. Campinas, SP. BR
Rev. Soc. Bras. Clín. Méd ; 15(2): 116-119, 20170000. ilus
Article in Portuguese | LILACS | ID: biblio-875565
Responsible library: BR1610.9
RESUMO
Apesar de não haver caso autóctone na Região Sudeste, a leishmaniose visceral é encontrada em pacientes que migram de regiões endêmicas. Como é uma doença que, se não reconhecida e conduzida adequadamente, apresenta alta mortalidade, realizamos uma revisão bibliográfica e destacamos, com o relato deste caso, a importância de a incluirmos no diagnóstico diferencial de hepatoesplenomegalia febril ainda na avaliação clínica inicial, pois o retardo no diagnóstico piora o prognóstico e a sobrevida do paciente, sendo sumária a introdução de terapêutica apropriada o mais breve possível.(AU)
ABSTRACT
Although there is no autochthonous case finding in the Southeast Region, visceral leishmaniasis is found in patients migrating from endemic areas. Because it is a disease that, if not properly recognized and treated, presents high mortality, we performed a bibliographic review and highlight, with the report of this case, the importance of including it in the differential diagnosis of febrile hepatosplenomegaly in the initial clinical evaluation. The late diagnosis worsens the patient's prognosis and survival, and the introduction of appropriate therapeutics should be made as soon as possible.(AU)
Subject(s)

Full text: Available Collection: International databases Database: LILACS Main subject: Splenomegaly / Leishmaniasis, Visceral / Liver Diseases, Parasitic / Antiprotozoal Agents Type of study: Diagnostic study / Prognostic study Limits: Humans / Male Country/Region as subject: South America / Brazil Language: Portuguese Journal: Rev. Soc. Bras. Clín. Méd Journal subject: Therapeutics Year: 2017 Document type: Article Affiliation country: Brazil Institution/Affiliation country: Faculdade de Medicina e Odontologia São Leopoldo Mandic/BR / Hospital Municipal Dr. Mário Gatti/BR
Full text: Available Collection: International databases Database: LILACS Main subject: Splenomegaly / Leishmaniasis, Visceral / Liver Diseases, Parasitic / Antiprotozoal Agents Type of study: Diagnostic study / Prognostic study Limits: Humans / Male Country/Region as subject: South America / Brazil Language: Portuguese Journal: Rev. Soc. Bras. Clín. Méd Journal subject: Therapeutics Year: 2017 Document type: Article Affiliation country: Brazil Institution/Affiliation country: Faculdade de Medicina e Odontologia São Leopoldo Mandic/BR / Hospital Municipal Dr. Mário Gatti/BR
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