Please use this identifier to cite or link to this item:
https://open.uns.ac.rs/handle/123456789/9014
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Stevan Milošević | en_US |
dc.contributor.author | Mirjana Bogavac | en_US |
dc.contributor.author | Goran Malenković | en_US |
dc.contributor.author | Milotka Fabri | en_US |
dc.contributor.author | Maja Ružić | en_US |
dc.contributor.author | Tihomir Dugandžija | en_US |
dc.date.accessioned | 2019-09-30T09:12:50Z | - |
dc.date.available | 2019-09-30T09:12:50Z | - |
dc.date.issued | 2013-04-01 | - |
dc.identifier.issn | 18951058 | en_US |
dc.identifier.uri | https://open.uns.ac.rs/handle/123456789/9014 | - |
dc.description.abstract | Introduction: Visceral leishmaniasis, caused by protozoan parasites of the Leishmania genus, is very rare cause of postpartum pyrexia. It is also known as kala-azar, black fever, and Dumdum fever. Signs and symptoms include fever, weight loss, mucosal ulcers, fatigue, anemia, and substantial swelling of the liver and spleen. Case report: We represent a very rare case of the septic form of visceral leishmaniasis in a thirty-year-old woman during puerperium, 31 days after vaginal delivery. Her continuously febrile state, splenomegaly, and laboratory findings characteristic of a febrile state meant that the disease at the beginning was understood and treated as a puerperal sepsis. The patient's condition worsened continuously, despite treatment with wide spectrum antimicrobial agents. Expert advice at the Clinic decided that hysterectomy was necessary. After a short remission, her febrile state returned; we decided to transfer the patient to the Clinic for Infectious Diseases for further evaluation and diagnosis. Microscopic analyses of a sternal biopsy showed polymorphic forms of Leishmania chagasi, confirming the diagnosis of visceral leishmaniasis. After adequate the patient recovered completely. Conclusion: Only careful examination, close observation, and prompt treatment performed by a multidisciplinary team of specialists can lead to a good outcome for the patient. Bone marrow biopsy remains the gold standard in the diagnosis of Visceral leishmaniasis. © 2013 Versita Warsaw and Springer-Verlag Berlin Heidelberg. | en_US |
dc.language.iso | en | en_US |
dc.relation.ispartof | Central European Journal of Medicine | en_US |
dc.subject | Fever of unknown origin | en_US |
dc.subject | Postpartal period | en_US |
dc.subject | Sepsis | en_US |
dc.subject | Puerperium | en_US |
dc.subject | Visceral leishmaniasis | en_US |
dc.subject | Kala-azar | en_US |
dc.title | Visceral leishmaniasis as a cause of postpartum pyrexia - Case report | en_US |
dc.type | Journal/Magazine Article | en_US |
dc.identifier.doi | 10.2478/s11536-012-0104-y | - |
dc.identifier.scopus | 2-s2.0-84879696696 | - |
dc.identifier.url | https://api.elsevier.com/content/abstract/scopus_id/84879696696 | - |
dc.description.version | Published | en_US |
dc.relation.lastpage | 152 | en_US |
dc.relation.firstpage | 149 | en_US |
dc.relation.issue | 2 | en_US |
dc.relation.volume | 8 | en_US |
item.grantfulltext | none | - |
item.fulltext | No Fulltext | - |
crisitem.author.dept | Medicinski fakultet, Katedra za ginekologiju i akušerstvo | - |
crisitem.author.dept | Medicinski fakultet, Katedra za zdravstvenu negu | - |
crisitem.author.dept | Medicinski fakultet, Katedra za infektivne bolesti | - |
crisitem.author.dept | Medicinski fakultet, Katedra za epidemiologiju | - |
crisitem.author.orcid | 0000-0002-2967-3060 | - |
crisitem.author.orcid | 0000-0001-6279-0413 | - |
crisitem.author.parentorg | Medicinski fakultet | - |
crisitem.author.parentorg | Medicinski fakultet | - |
crisitem.author.parentorg | Medicinski fakultet | - |
crisitem.author.parentorg | Medicinski fakultet | - |
Appears in Collections: | MDF Publikacije/Publications |
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