Visceral leishmaniasis with splenic nodules: Case report


Alkan G., Akaslan Kara A., ÖZEN M.

Turkiye Klinikleri Pediatri, cilt.25, sa.1, ss.56-59, 2016 (Scopus) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 25 Sayı: 1
  • Basım Tarihi: 2016
  • Doi Numarası: 10.5336/pediatr.2015-46962
  • Dergi Adı: Turkiye Klinikleri Pediatri
  • Derginin Tarandığı İndeksler: Scopus
  • Sayfa Sayıları: ss.56-59
  • Anahtar Kelimeler: Fever, Leishmaniasis, Pancytopenia, Visceral
  • Acıbadem Mehmet Ali Aydınlar Üniversitesi Adresli: Evet

Özet

Copyright © 2016 by Tür ki ye Kli nik le ri.Visceral leishmaniasis (VL) is transmitted to humans by the bite of sandflies. VL is an endemic parasitic disease which is characterized by fever, splenomegaly and pancytopenia in most of the cases. Delays in diagnosis of VL are common because of nonspecific symptoms and variable incubation time. Specific serology and polymerase chain reaction are useful for the diagnosis. Anti-K39 strip test is highly sensitive. Splenic multifocal hypoechoic nodules should be evaluated for VL with clinical and laboratory features in patient. Herein we report a twenty-two month-old female infant with diagnosis of VL who presented with recurrent fever, pancytopenia and ultrasonography revealed enlarged spleen with multifocal hypoechoic nodules. We considered that splenic nodules can help to diagnosis of VL in children as literature case reports support to this situation.