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First report of an autochthonous human visceral leishmaniasis in a child from the South of Minas Gerais State, Brazil
American visceral leishmaniasis (VL) is a vector-borne disease transmitted by some species of phlebotomine sandflies from the genus Lutzomyia. This neglected tropical zoonosis shows increasing urbanization process, since the end of the 1980s. After the emergence of foci of the disease in urban areas...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Instituto de Medicina Tropical
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6300792/ https://www.ncbi.nlm.nih.gov/pubmed/30570074 http://dx.doi.org/10.1590/S1678-9946201961001 |
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author | Narciso, Thiago Pasqua Carvalho, Richardson Costa Campos, Luciano Carvalho Viana, Agostinho Gonçalves Fujiwara, Ricardo Toshio Barçante, Thales Augusto Alvarenga, Ingrid Marciano Barçante, Joziana Muniz de Paiva |
author_facet | Narciso, Thiago Pasqua Carvalho, Richardson Costa Campos, Luciano Carvalho Viana, Agostinho Gonçalves Fujiwara, Ricardo Toshio Barçante, Thales Augusto Alvarenga, Ingrid Marciano Barçante, Joziana Muniz de Paiva |
author_sort | Narciso, Thiago Pasqua |
collection | PubMed |
description | American visceral leishmaniasis (VL) is a vector-borne disease transmitted by some species of phlebotomine sandflies from the genus Lutzomyia. This neglected tropical zoonosis shows increasing urbanization process, since the end of the 1980s. After the emergence of foci of the disease in urban areas, VL has assumed an important role in public health. Although VL is widely prevalent in several parts of the world, diagnosing the illness is still difficult. We present a case of a 12-year-old girl with a history of recurrent fever, anorexia, cachexia, chronic fatigue, weight loss, left palpebral unilateral edema, persistent cough and pancytopenia. A diagnosis of VL was performed using a reference immunochromatographic rapid test. Identification of the infecting protozoan was directly obtained by PCR of bone marrow. The patient responded favorably to treatment using liposomal amphotericin B. This is the first report of human visceral leishmaniasis in the city of Lavras in the South of Minas Gerais State. This first report of VL highlighted the need of maintenance of permanent surveillance and control programs in the city of Lavras, including the active search of sandflies, human and canine cases. The current situation of Lavras should also be taken as an alert to other near cities where favorable eco-epidemiological conditions may exist. |
format | Online Article Text |
id | pubmed-6300792 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Instituto de Medicina Tropical |
record_format | MEDLINE/PubMed |
spelling | pubmed-63007922019-01-11 First report of an autochthonous human visceral leishmaniasis in a child from the South of Minas Gerais State, Brazil Narciso, Thiago Pasqua Carvalho, Richardson Costa Campos, Luciano Carvalho Viana, Agostinho Gonçalves Fujiwara, Ricardo Toshio Barçante, Thales Augusto Alvarenga, Ingrid Marciano Barçante, Joziana Muniz de Paiva Rev Inst Med Trop Sao Paulo Case Report American visceral leishmaniasis (VL) is a vector-borne disease transmitted by some species of phlebotomine sandflies from the genus Lutzomyia. This neglected tropical zoonosis shows increasing urbanization process, since the end of the 1980s. After the emergence of foci of the disease in urban areas, VL has assumed an important role in public health. Although VL is widely prevalent in several parts of the world, diagnosing the illness is still difficult. We present a case of a 12-year-old girl with a history of recurrent fever, anorexia, cachexia, chronic fatigue, weight loss, left palpebral unilateral edema, persistent cough and pancytopenia. A diagnosis of VL was performed using a reference immunochromatographic rapid test. Identification of the infecting protozoan was directly obtained by PCR of bone marrow. The patient responded favorably to treatment using liposomal amphotericin B. This is the first report of human visceral leishmaniasis in the city of Lavras in the South of Minas Gerais State. This first report of VL highlighted the need of maintenance of permanent surveillance and control programs in the city of Lavras, including the active search of sandflies, human and canine cases. The current situation of Lavras should also be taken as an alert to other near cities where favorable eco-epidemiological conditions may exist. Instituto de Medicina Tropical 2018-12-20 /pmc/articles/PMC6300792/ /pubmed/30570074 http://dx.doi.org/10.1590/S1678-9946201961001 Text en https://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Narciso, Thiago Pasqua Carvalho, Richardson Costa Campos, Luciano Carvalho Viana, Agostinho Gonçalves Fujiwara, Ricardo Toshio Barçante, Thales Augusto Alvarenga, Ingrid Marciano Barçante, Joziana Muniz de Paiva First report of an autochthonous human visceral leishmaniasis in a child from the South of Minas Gerais State, Brazil |
title | First report of an autochthonous human visceral leishmaniasis in a
child from the South of Minas Gerais State, Brazil |
title_full | First report of an autochthonous human visceral leishmaniasis in a
child from the South of Minas Gerais State, Brazil |
title_fullStr | First report of an autochthonous human visceral leishmaniasis in a
child from the South of Minas Gerais State, Brazil |
title_full_unstemmed | First report of an autochthonous human visceral leishmaniasis in a
child from the South of Minas Gerais State, Brazil |
title_short | First report of an autochthonous human visceral leishmaniasis in a
child from the South of Minas Gerais State, Brazil |
title_sort | first report of an autochthonous human visceral leishmaniasis in a
child from the south of minas gerais state, brazil |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6300792/ https://www.ncbi.nlm.nih.gov/pubmed/30570074 http://dx.doi.org/10.1590/S1678-9946201961001 |
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