1.
Rev Soc Bras Med Trop
; 47(4): 521-3, 2014 Jul.
Artículo
en Inglés
| MEDLINE
| ID: mdl-25229297
RESUMEN
INTRODUCTION: Nine cases of visceral leishmaniasis occurred recently in Barra Mansa, State of Rio de Janeiro, with a high mortality rate. METHODS: We reviewed the medical records of the patients. RESULTS: Eight were male; 7 were adults. Patients who died progressed to death quickly and presented with aggravating factors: systemic steroid therapy before diagnosis, bleeding, severe liver involvement, infection, and/or refusal to receive transfusion. CONCLUSIONS: We warn clinicians to be aware of the emergence of visceral leishmaniasis in new areas and to keep in mind the possibility of atypical clinical pictures and aggravating factors, so timely diagnosis can be made and prompt and adequate treatment can be initiated.