INTRODUCTION: Nine cases of visceral leishmaniasis occurred recently in Barra Mansa, State of Rio de Janeiro, with a high mortality rate. METHODS: We reviewed the medical records of the patients. RESULTS: Eight were male; 7 were adults. Patients who died progressed to death quickly and presented with aggravating factors: systemic steroid therapy before diagnosis, bleeding, severe liver involvement, infection, and/or refusal to receive transfusion. CONCLUSIONS: We warn clinicians to be aware of the emergence of visceral leishmaniasis in new areas and to keep in mind the possibility of atypical clinical pictures and aggravating factors, so timely diagnosis can be made and prompt and adequate treatment can be initiated.
INTRODUCTION: Nine cases of visceral leishmaniasis occurred recently in Barra Mansa, State of Rio de Janeiro, with a high mortality rate. METHODS: We reviewed the medical records of the patients. RESULTS: Eight were male; 7 were adults. Patients who died progressed to death quickly and presented with aggravating factors: systemic steroid therapy before diagnosis, bleeding, severe liver involvement, infection, and/or refusal to receive transfusion. CONCLUSIONS: We warn clinicians to be aware of the emergence of visceral leishmaniasis in new areas and to keep in mind the possibility of atypical clinical pictures and aggravating factors, so timely diagnosis can be made and prompt and adequate treatment can be initiated.
Authors: Viviane Cardoso Boechat; Artur Augusto Velho Mendes Junior; Maria de Fátima Madeira; Luiz Claudio Ferreira; Fabiano Borges Figueiredo; Francisco das Chagas de Carvalho Rodrigues; Valéria da Costa Oliveira; Raquel de Vasconcellos Carvalhaes de Oliveira; Rodrigo Caldas Menezes Journal: Parasitol Res Date: 2016-03-16 Impact factor: 2.289
Authors: Valéria da Costa Oliveira; Viviane Cardoso Boechat; Artur Augusto Velho Mendes Junior; Maria de Fátima Madeira; Luiz Claudio Ferreira; Fabiano Borges Figueiredo; Monique Paiva Campos; Francisco das Chagas de Carvalho Rodrigues; Raquel de Vasconcellos Carvalhaes de Oliveira; Maria Regina Reis Amendoeira; Rodrigo Caldas Menezes Journal: PLoS One Date: 2017-04-18 Impact factor: 3.240
Authors: Valéria da Costa Oliveira; Artur Augusto Velho Mendes Junior; Luiz Claudio Ferreira; Tatiana Machado Quinates Calvet; Shanna Araujo Dos Santos; Fabiano Borges Figueiredo; Monique Paiva Campos; Francisco das Chagas de Carvalho Rodrigues; Raquel de Vasconcellos Carvalhaes de Oliveira; Elba Regina Sampaio de Lemos; Tatiana Rozental; Raphael Gomes da Silva; Maria Regina Reis Amendoeira; Rayane Teles-de-Freitas; Rafaela Vieira Bruno; Fernanda Nazaré Morgado; Luciana de Freitas Campos Miranda; Rodrigo Caldas Menezes Journal: PLoS One Date: 2021-03-11 Impact factor: 3.240
Authors: William de Oliveira Kost; Sandro Antonio Pereira; Fabiano Borges Figueiredo; Artur Augusto Velho Mendes Junior; Maria de Fátima Madeira; Luciana de Freitas Campos Miranda; Raquel de Vasconcellos Carvalhaes de Oliveira; Luiz Cláudio Ferreira; Fernanda Nazaré Morgado; Rodrigo Caldas Menezes Journal: Parasit Vectors Date: 2021-06-12 Impact factor: 3.876