VISCERAL LEISHMANIASIS AFTER ORTHOTOPIC LIVER-TRANSPLANTATION - IMPACT OF PERSISTENT SPLENOMEGALY

被引：0
|
作者：
HORBER, FF
LERUT, JP
REICHEN, J
ZIMMERMANN, A
JAEGER, P
MALINVERNI, R
机构：
[1] Medizinische Universitätspoliklinik, Bern, CH-3010, Inselspital
[2] Klinik für Viszeralchirurgie und Transplantation, Bern, CH-3010, Inselspital
[3] Institut für Klinische Pharmakologie, Bern, CH-3010, Inselspital
[4] Institut für Pathologie, Bern, CH-3010, Inselspital
来源：
TRANSPLANT INTERNATIONAL | 1993年 / 6卷 / 01期
关键词：
LIVER TRANSPLANTATION; LEISHMANIASIS; SPLENOMEGALY;
D O I：
10.1007/BF00336642
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Visceral leishmaniasis was observed in a 50-year-old female liver transplant recipient 1 year following transplantation. Signs of active infection were low-grade fever, pancytopenia, persistent splenomegaly, positive cultures for leishmania in liver and bone marrow biopsy specimens, and newly positive leishmania serology. Following sequential therapy with pentavalent antimony and amphotericin B, blood values improved massively, bone marrow cultures became negative, and leishmania serology decreased. Secondary prophylaxis with fluconazole was instituted and the patient remains without signs of active infection 1 year after successful therapy.
引用
收藏
页码：55 / 57
页数：3
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