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FROM UNEXPLAINED FEVER TO VISCERAL LEISHMANIASIS – A CASE REPORT

Ivan Marković
Ana Gudelj-Gračanin
Melanie-Ivana Čulo
Tajana Štoos-Veić
Ninoslava Vicković
Boško Desnica
Jadranka Morović-Vergles

Puni tekst: hrvatski, pdf (181 KB) str. 0-0 preuzimanja: 76* citiraj
APA 6th Edition
Marković, I., Gudelj-Gračanin, A., Čulo, M., Štoos-Veić, T., Vicković, N., Desnica, B. i Morović-Vergles, J. (2014). OD NEJASNE VRUĆICE DO VISCERALNE LIŠMENIJAZE – PRIKAZ BOLESNIKA. Liječnički vjesnik, 136 (1-2), 0-0. Preuzeto s https://hrcak.srce.hr/172579
MLA 8th Edition
Marković, Ivan, et al. "OD NEJASNE VRUĆICE DO VISCERALNE LIŠMENIJAZE – PRIKAZ BOLESNIKA." Liječnički vjesnik, vol. 136, br. 1-2, 2014, str. 0-0. https://hrcak.srce.hr/172579. Citirano 20.10.2019.
Chicago 17th Edition
Marković, Ivan, Ana Gudelj-Gračanin, Melanie-Ivana Čulo, Tajana Štoos-Veić, Ninoslava Vicković, Boško Desnica i Jadranka Morović-Vergles. "OD NEJASNE VRUĆICE DO VISCERALNE LIŠMENIJAZE – PRIKAZ BOLESNIKA." Liječnički vjesnik 136, br. 1-2 (2014): 0-0. https://hrcak.srce.hr/172579
Harvard
Marković, I., et al. (2014). 'OD NEJASNE VRUĆICE DO VISCERALNE LIŠMENIJAZE – PRIKAZ BOLESNIKA', Liječnički vjesnik, 136(1-2), str. 0-0. Preuzeto s: https://hrcak.srce.hr/172579 (Datum pristupa: 20.10.2019.)
Vancouver
Marković I, Gudelj-Gračanin A, Čulo M, Štoos-Veić T, Vicković N, Desnica B i sur. OD NEJASNE VRUĆICE DO VISCERALNE LIŠMENIJAZE – PRIKAZ BOLESNIKA. Liječnički vjesnik [Internet]. 2014 [pristupljeno 20.10.2019.];136(1-2):0-0. Dostupno na: https://hrcak.srce.hr/172579
IEEE
I. Marković, et al., "OD NEJASNE VRUĆICE DO VISCERALNE LIŠMENIJAZE – PRIKAZ BOLESNIKA", Liječnički vjesnik, vol.136, br. 1-2, str. 0-0, 2014. [Online]. Dostupno na: https://hrcak.srce.hr/172579. [Citirano: 20.10.2019.]

Sažetak
Visceral leishmaniasis or kala-azar is a systemic infectious vector-borne disease caused by protozoa Leishmania donovani and Leishmania infantum that are transmitted to mammalian hosts by sand flies. It occurrs sporadically in endemic areas, including Mediterranean basin. Southern coastal territories of Croatia have been recognized as the foci of the disease. Dogs are the main reservoir of human infection. Clinical features include prolonged fever, malaise, hepatosplenomegaly, pancytopenia and inversion of albumin-globulin ratio. If left untreated, the disease causes death in majority of cases. We report a 47-year-old Croatian patient who was admitted to hospital with 2-month history of fever of unknown origin. Based on bone marrow aspirate findings and positive serological tests, the diagnosis of visceral leishmaniasis was established. We also considered secondary hemophagocytic lymphohystiocytosis in the differential diagnosis. After a 4-week treatment with sodium-stibogluconate clinical remission was achieved as well as complete recovery of hematopoesis. The aim of our case-report is to stress the importance of considering visceral leishmaniasis in patients with long-standing fever in endemic areas.

Ključne riječi
Leishmaniasis, visceral – diagnosis, drug therapy; Antimony sodium gluconate – therapeutic use; Antiprotozoal agents – therapeutic use; Leishmania – isolation and purification; Fever of unknown origin – parasitology

Hrčak ID: 172579

URI
https://hrcak.srce.hr/172579

[hrvatski]

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