Revista: | Revista do Instituto de Medicina Tropical de Sao Paulo |
Base de datos: | |
Número de sistema: | 000547838 |
ISSN: | 0036-4665 |
Autores: | Martins, Luciamáre Perinetti Alves1 Fukasawa, Josianne Thomazini1 Messias, Mirella Beni Balbino Ferreira1 Castanho, Roberto Esteves Pires1 Andrade, Leticia Abrantes2 Sperança, Márcia Aparecida2 Suzuki, Rodrigo Buzinaro1 |
Instituciones: | 1Faculdade de Medicina de Marília, Hospital das Clínicas, Marília, São Paulo. Brasil 2Universidade Federal do ABC, Centro de Ciências Naturais e Humanas, São Bernardo do Campo, São Paulo. Brasil |
Año: | 2022 |
Volumen: | 64 |
País: | Brasil |
Idioma: | Inglés |
Tipo de documento: | Artículo |
Resumen en inglés | Visceral leishmaniasis (VL) is an opportunistic disease in immunosuppressed individuals, who may present severe clinical conditions, such as the ones described in this patient. She lived in an endemic region for VL, and was possibly infected with L. (L.) infantum chagasi through the bite of a contaminated sand fly. This initial infection has triggered a pemphigus vulgaris condition by immunogenic proteins present in the mosquito's saliva. The immunosuppression caused by the use of high doses of corticosteroids to control the disease promoted a severe VL condition, with hepatosplenomegaly, thrombocytopenia and hemorrhages, requiring hospitalization and the onset of a subsequent SARS-CoV-2 infection. Due to the intensity of clinical manifestations related to VL, aggravated by COVID-19, she died two days after admission to the Clinical Hospital of Marilia Medical School (HC–Famema). |
Disciplinas: | Medicina, Biología |
Palabras clave: | Microbiología, Parasitología |
Keyword: | Microbiology, Parasitology |
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