Visceral leishmaniasis after orthotopic liver transplantation: impact of persistent splenomegaly.
Transpl Int
; 6(1): 55-7, 1993 Jan.
Article
em En
| MEDLINE
| ID: mdl-8452634
ABSTRACT
Visceral leishmaniasis was observed in a 50-year-old female liver transplant recipient 1 year following transplantation. Signs of active infection were low-grade fever, pancytopenia, persistent splenomegaly, positive cultures for leishmania in liver and bone marrow biopsy specimens, and newly positive leishmania serology. Following sequential therapy with pentavalent antimony and amphotericin B, blood values improved massively, bone marrow cultures became negative, and leishmania serology decreased. Secondary prophylaxis with fluconazole was instituted and the patient remains without signs of active infection 1 year after successful therapy.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Transplante de Fígado
/
Leishmaniose Visceral
/
Hepatopatias Parasitárias
Limite:
Female
/
Humans
/
Middle aged
Idioma:
En
Revista:
Transpl Int
Ano de publicação:
1993
Tipo de documento:
Article