Diagnostic Splenectomy for Visceral Leishmaniasis
AUTOR(ES)
Pickering, H
FONTE
The Royal College of Surgeons of England
RESUMO
A 57-year-old-man with a history of malaise, fever,night sweats and shortness of breath presented a diagnostic challenge to his medical team. He was pancytopaenic and had splenomegaly on admission but other investigations, including bone marrow aspiration, proved inconclusive. After the patient deteriorated clinically, the general surgical team was requested to perform a diagnostic splenectomy. The histology of this showed infection with visceral leishmaniasis. He recovered completely with Amphotericin treatment. Although this is a rare condition, particularly for the general surgeon, this case highlights the difficult position surgeons are often put in when performing major surgery diagnostically.
ACESSO AO ARTIGO
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2765006Documentos Relacionados
- Cost-effectiveness analysis of diagnostic-therapeutic strategies for visceral leishmaniasis in Brazil
- Evaluation of the diagnostic potential of CD1a immunohistochemistry for visceral leishmaniasis
- Synovial fluid as an auxiliary diagnostic tool for different stages of canine visceral leishmaniasis
- Imported Visceral Leishmaniasis: Diagnostic Dilemmas and Comparative Analysis of Three Assays
- Performance of a rapid diagnostic test for the detection of visceral leishmaniasis in a large urban setting