Visceral leishmaniasis in pregnant women from Rio Grande do Norte, Brazil: a case report and literature review

Visceral leishmaniasis (VL) in pregnant is considered rare. We present the case of a woman with 24 gestational weeks presenting fever, hepatosplenomegaly, pancytopenia, and inversion of albumin/globulin ratio. Anti-rK39 was positive and amastigotes were visualized on myelogram. Treatment with LAmB s...

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Principais autores: Cunha, Francielly Tertulino, Lopes, Isadora Correia, Oliveira, Francisco Clitson Sousa, Silva, Igor Thiago Borges de Queiroz e
Formato: article
Idioma:English
Publicado em: Sociedade Brasileira de Medicina Tropical (SBMT)
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Endereço do item:https://repositorio.ufrn.br/handle/123456789/31348
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Resumo:Visceral leishmaniasis (VL) in pregnant is considered rare. We present the case of a woman with 24 gestational weeks presenting fever, hepatosplenomegaly, pancytopenia, and inversion of albumin/globulin ratio. Anti-rK39 was positive and amastigotes were visualized on myelogram. Treatment with LAmB showed disease improvement. The newborn was born healthy at term, with delivery performed without complications. As VL in pregnancy can progress to death and complications for the motherfetus binomial, inclusion of VL in the differential diagnosis of patients from endemic areas with compatible clinical picture is mandatory. Treatment with LAmB demonstrates safety and high cure rates in pregnancy