新医学Issue(10)：706-708,3.DOI:10.3969/g.issn.0253-9802.2015.10.015
经骨髓细胞形态学检查确诊内脏利什曼病一例
One case of visceral leishmaniasis diagnosed by bone marrow cell morphological examination
王哲 1徐倩 2付建珠 2赵亚玲 2张昕 1孙立娜 1田明杰3
作者信息
- 1. 071000 保定，保定市第一医院检验科
- 2. 067000 承德，承德医学院
- 3. 071000 保定，河北大学附属医院
- 折叠
摘要
Abstract
Visceral leishmaniasis,also known as Kala-azar,is a chronic endemic infectious disease caused by phlebotomus chinensis,which can infect both human and animals.At present,it is rarely reported in clinical practice and likely to be misdiagnosed.This disease is clinically manifested with irregular fever,hepa-tosplenomegaly,lymphadenopathy and anemia,etc.In this paper,we reported one suspected case of Kala-azar presenting with fever,hepatosplenomegaly and pancytopenia.The diagnosis was confirmed by identifying Leish-mania donovani amastigotes through bone marrow smears.After treated with sodium stiboglucinate,the child was improved.The size of liver and spleen was significantly reduced and routine blood and bone marrow exami-nations revealed normal outcomes.Consequently,bone marrow cell morphological examination is of significance in the diagnosis of visceral leishmaniasis.关键词
内脏利什曼病/脾肿大/骨髓/利什曼原虫Key words
Visceral leishmaniasis/Splenomegaly/Marrow/Leishmania amastigote引用本文复制引用
王哲,徐倩,付建珠,赵亚玲,张昕,孙立娜,田明杰..经骨髓细胞形态学检查确诊内脏利什曼病一例[J].新医学,2015,(10):706-708,3.
