Dyarrheal syndrome in a patient co-infected with Leishmania infantum and Schistosoma mansoni
Autor(a) principal: | |
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Data de Publicação: | 2012 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
Texto Completo: | https://www.arca.fiocruz.br/handle/icict/7423 |
Resumo: | Fundação Hospitalar do Estado de Minas Gerais. Hospital Eduardo de Menezes. Belo Horizonte, MG, Brazil/Fundação Oswaldo Cruz. Laboratório de Pesquisas Clínicas, Centro de Pesquisas René Rachou. Belo Horizonte, MG, Brazil. |
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Cota, Gláucia FernandesGomes, Luciana InáciaPinto, Bruna FernandesOliveira, Joanna R. SantosCruz, Alda Maria daPedrosa, Moisés SalgadoTafuri, Wagner LuizRabello, Ana Lúcia Teles2014-03-19T16:44:37Z2014-03-19T16:44:37Z2012COTA, Gláucia Fernandes et al. Dyarrheal syndrome in a patient co-infected with Leishmania infantum and Schistosoma mansoni. Case Reports in Medicine. 2012, vol.2012, pp. 1-42325-7083https://www.arca.fiocruz.br/handle/icict/742310.1155/2012/240512engHindawi Publishing CorporationDyarrheal syndrome in a patient co-infected with Leishmania infantum and Schistosoma mansoniinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Hospitalar do Estado de Minas Gerais. Hospital Eduardo de Menezes. Belo Horizonte, MG, Brazil/Fundação Oswaldo Cruz. Laboratório de Pesquisas Clínicas, Centro de Pesquisas René Rachou. Belo Horizonte, MG, Brazil.Fundação Oswaldo Cruz. Laboratório de Pesquisas Clínicas, Centro de Pesquisas René Rachou. Belo Horizonte, MG, Brazil.Fundação Oswaldo Cruz. Laboratório de Pesquisas Clínicas, Centro de Pesquisas René Rachou. Belo Horizonte, MG, Brazil.Instituto Oswaldo Cruz. Laboratório Interdisciplinar de Pesquisas Médicas. Rio de Janeiro, RJ, BrazilInstituto Oswaldo Cruz. Laboratório Interdisciplinar de Pesquisas Médicas. Rio de Janeiro, RJ, BrazilFundação Hospitalar do Estado de Minas Gerais. Hospital Eduardo de Menezes. Belo Horizonte, MG, BrazilUniversidade Federal de Minas Gerais. Instituto de Ciências Biológicas Departamento de Patologia Geral. Belo Horizonte, MG, BrazilFundação Oswaldo Cruz. Laboratório de Pesquisas Clínicas, Centro de Pesquisas René Rachou. Belo Horizonte, MG, BrazilThis case report describes an atypical clinical presentation of visceral leishmaniasis affecting the digestive tract and causing malabsorption syndrome in a patient without recognized immunosuppressive condition. After appropriate treatment for the classical visceral form of the disease, diarrhea persisted as the main symptom and massive infection by Leishmania was detected by histopathology analysis of the duodenal mucosa. Schistosoma mansoni coinfection was also confirmed and treated without impact on diarrhea. New course of amphotericin B finally led to complete improvement of diarrhea. Atypical visceral leishmaniasis involving the gastrointestinal tract is well recognized in HIV coinfection but very rare in immunocompetent patients. The factors determining the control or evolution of the Leishmania infection have not been completely identified. This case stresses the importance of atypical symptoms and the unusual location of visceral leishmaniasis, not only in immunodepressed patients, and raises the possible influence of chronic infection by S. mansoni reducing the immune response to Leishmania.visceral leishmaniasisDyarrheal syndromeinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZORIGINALDyarrheal syndrome in a patient co-infected with Leishmania infantum and Schistosoma mansoni.pdfDyarrheal syndrome in a patient co-infected with Leishmania infantum and Schistosoma mansoni.pdfapplication/pdf1063880https://www.arca.fiocruz.br/bitstream/icict/7423/1/Dyarrheal%20syndrome%20in%20a%20patient%20co-infected%20with%20Leishmania%20infantum%20and%20Schistosoma%20mansoni.pdf5a1aa6026a3465285a9e602bb97d5ddcMD51LICENSElicense.txtlicense.txttext/plain; charset=utf-81914https://www.arca.fiocruz.br/bitstream/icict/7423/2/license.txt7d48279ffeed55da8dfe2f8e81f3b81fMD52TEXTDyarrheal syndrome in a patient co-infected with Leishmania infantum and Schistosoma mansoni.pdf.txtDyarrheal syndrome in a patient co-infected with Leishmania infantum and Schistosoma mansoni.pdf.txtExtracted texttext/plain4https://www.arca.fiocruz.br/bitstream/icict/7423/5/Dyarrheal%20syndrome%20in%20a%20patient%20co-infected%20with%20Leishmania%20infantum%20and%20Schistosoma%20mansoni.pdf.txtff4c8ff01d544500ea4bfea43e6108c1MD55THUMBNAILDyarrheal syndrome in a patient co-infected with Leishmania infantum and Schistosoma mansoni.pdf.jpgDyarrheal syndrome in a patient co-infected with Leishmania infantum and Schistosoma mansoni.pdf.jpgGenerated Thumbnailimage/jpeg1734https://www.arca.fiocruz.br/bitstream/icict/7423/4/Dyarrheal%20syndrome%20in%20a%20patient%20co-infected%20with%20Leishmania%20infantum%20and%20Schistosoma%20mansoni.pdf.jpg77f02d89051c7bf4bd09a646ed0e9db9MD54icict/74232018-04-05 23:45:49.389oai:www.arca.fiocruz.br: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ório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352018-04-06T02:45:49Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false |
dc.title.pt_BR.fl_str_mv |
Dyarrheal syndrome in a patient co-infected with Leishmania infantum and Schistosoma mansoni |
title |
Dyarrheal syndrome in a patient co-infected with Leishmania infantum and Schistosoma mansoni |
spellingShingle |
Dyarrheal syndrome in a patient co-infected with Leishmania infantum and Schistosoma mansoni Cota, Gláucia Fernandes visceral leishmaniasis Dyarrheal syndrome |
title_short |
Dyarrheal syndrome in a patient co-infected with Leishmania infantum and Schistosoma mansoni |
title_full |
Dyarrheal syndrome in a patient co-infected with Leishmania infantum and Schistosoma mansoni |
title_fullStr |
Dyarrheal syndrome in a patient co-infected with Leishmania infantum and Schistosoma mansoni |
title_full_unstemmed |
Dyarrheal syndrome in a patient co-infected with Leishmania infantum and Schistosoma mansoni |
title_sort |
Dyarrheal syndrome in a patient co-infected with Leishmania infantum and Schistosoma mansoni |
author |
Cota, Gláucia Fernandes |
author_facet |
Cota, Gláucia Fernandes Gomes, Luciana Inácia Pinto, Bruna Fernandes Oliveira, Joanna R. Santos Cruz, Alda Maria da Pedrosa, Moisés Salgado Tafuri, Wagner Luiz Rabello, Ana Lúcia Teles |
author_role |
author |
author2 |
Gomes, Luciana Inácia Pinto, Bruna Fernandes Oliveira, Joanna R. Santos Cruz, Alda Maria da Pedrosa, Moisés Salgado Tafuri, Wagner Luiz Rabello, Ana Lúcia Teles |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Cota, Gláucia Fernandes Gomes, Luciana Inácia Pinto, Bruna Fernandes Oliveira, Joanna R. Santos Cruz, Alda Maria da Pedrosa, Moisés Salgado Tafuri, Wagner Luiz Rabello, Ana Lúcia Teles |
dc.subject.en.pt_BR.fl_str_mv |
visceral leishmaniasis Dyarrheal syndrome |
topic |
visceral leishmaniasis Dyarrheal syndrome |
description |
Fundação Hospitalar do Estado de Minas Gerais. Hospital Eduardo de Menezes. Belo Horizonte, MG, Brazil/Fundação Oswaldo Cruz. Laboratório de Pesquisas Clínicas, Centro de Pesquisas René Rachou. Belo Horizonte, MG, Brazil. |
publishDate |
2012 |
dc.date.issued.fl_str_mv |
2012 |
dc.date.accessioned.fl_str_mv |
2014-03-19T16:44:37Z |
dc.date.available.fl_str_mv |
2014-03-19T16:44:37Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
dc.identifier.citation.fl_str_mv |
COTA, Gláucia Fernandes et al. Dyarrheal syndrome in a patient co-infected with Leishmania infantum and Schistosoma mansoni. Case Reports in Medicine. 2012, vol.2012, pp. 1-4 |
dc.identifier.uri.fl_str_mv |
https://www.arca.fiocruz.br/handle/icict/7423 |
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2325-7083 |
dc.identifier.doi.none.fl_str_mv |
10.1155/2012/240512 |
identifier_str_mv |
COTA, Gláucia Fernandes et al. Dyarrheal syndrome in a patient co-infected with Leishmania infantum and Schistosoma mansoni. Case Reports in Medicine. 2012, vol.2012, pp. 1-4 2325-7083 10.1155/2012/240512 |
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https://www.arca.fiocruz.br/handle/icict/7423 |
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eng |
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eng |
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openAccess |
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Hindawi Publishing Corporation |
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Hindawi Publishing Corporation |
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