A novel case of human visceral leishmaniasis from the urban area of the city of Rio de Janeiro: autochthonous or imported from Spain ?

Silva, Guilherme Almeida Rosa da; Eyer-Silva, Walter de Araújo; Magalhães, ME; Ferry, Fernando Raphael de Almeida; Pinto, Jorge Francisco da Cunha; Azevedo, Marcelo Costa Velho Mendes de; Neves-Motta, Rogério; Athayde, Carolina Cunto de; Jordão, Pablo; Basílio-de-Oliveira, Rodrigo; Lyra, Marcelo Rosandiski; Fagundes, Aline; Pimentel, Maria Inês Fernandes; Pacheco, Raquel da Silva; Madeira, Maria de Fátima; Marzochi, Mauro Célio de Almeida

doi:10.1590/s1678-9946201759011

Cited by 1 publication

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“…Health education is considered an important tool in controlling leishmaniasis 13 . Of note, the delay and failure in the early diagnosis leading to health worsening, often evidence the negligence of the disease by health professionals 12 , 14 , 15 . In the present case, 20 days have passed since the appearance of the first symptoms until the definitive diagnosis.…”

Section: Discussionmentioning

confidence: 63%

First report of an autochthonous human visceral leishmaniasis in a child from the South of Minas Gerais State, Brazil

Narciso

Carvalho

Campos³

et al. 2018

Rev. Inst. Med. trop. S. Paulo

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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.

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Section: Discussionmentioning

confidence: 63%