[Kala azar. Rare import and significant differential diagnosis]. / Kala azar. Seltener import und wichtige differenzialdiagnose.
Internist (Berl)
; 47(8): 825-8, 830-3, 2006 Aug.
Article
en De
| MEDLINE
| ID: mdl-16819655
ABSTRACT
After traveling into regions endemic for leishmaniasis all patients presenting with generalized febrile symptoms, pancytopenia, hepatosplenomegaly and symptoms as well as laboratory parameters also seen in autoimmune diseases should be screened for leishmaniasis even after a longer time period. Doctors should bear in mind that especially immunosuppressed patients can present with atypical and abortive symptoms and that in this group of patients immune diagnosis is unreliable. A diagnosis of a lymphoma related only to the spleen should not be made and splenectomy must not be carried out before reliable exclusion of kala azar, using modern diagnostic tools like PCR. Patients should be referred to specialized centers e.g. institutes for tropical medicine and therapy must follow actual guidelines, such as the German guidelines published by the AWMF.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Viaje
/
Enfermedades Endémicas
/
Cuidados Críticos
/
Leishmaniasis Visceral
Tipo de estudio:
Diagnostic_studies
/
Guideline
/
Prognostic_studies
Límite:
Humans
Idioma:
De
Revista:
Internist (Berl)
Año:
2006
Tipo del documento:
Article