Title |
High visceral leishmaniasis mortality rate in Barra Mansa, a new area of visceral leishmaniasis transmission in the State of Rio de Janeiro, Brazil
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Published in |
Revista da Sociedade Brasileira de Medicina Tropical, August 2014
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DOI | 10.1590/0037-8682-0213-2013 |
Pubmed ID | |
Authors |
Maria Inês Fernandes Pimentel, Elisabeth Larcher Maximiano Alves, Maria Hercília Fiuza Farias da Silva, Patrícia Gazenmüller Moza, Paula Maria Pereira de Almeida, Cristiane Silveira Cunha, Cíntia Xavier de Mello, Armando de Oliveira Schubach |
Abstract |
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. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Unknown | 1 | 100% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Peru | 1 | 2% |
Brazil | 1 | 2% |
Unknown | 51 | 96% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 12 | 23% |
Researcher | 10 | 19% |
Student > Doctoral Student | 4 | 8% |
Student > Bachelor | 4 | 8% |
Student > Ph. D. Student | 3 | 6% |
Other | 5 | 9% |
Unknown | 15 | 28% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 14 | 26% |
Agricultural and Biological Sciences | 6 | 11% |
Immunology and Microbiology | 4 | 8% |
Environmental Science | 3 | 6% |
Biochemistry, Genetics and Molecular Biology | 3 | 6% |
Other | 9 | 17% |
Unknown | 14 | 26% |