A case of visceral leishmaniasis and pulmonary tuberculosis in a post-partum woman

作者：Colomba Claudia^*; Adamoli Lucia; Trizzino Marcello; Siracusa Lucia; Bonura Silvia; Tolomeo Manlio; Cajozzo Massimo; Giammanco Giovanni Maurizio

来源：International Journal of Infectious Diseases, 2015, 33: 5-6.

DOI：10.1016/j.ijid.2014.12.020

• Visceral leishmaniasis
• Pulmonary Tuberculosis
• Pregnancy

Visceral leishmaniasis due to Leishmania infantum is a vector-borne zoonotic disease transmitted by sand fly bites endemic in rural or periurban areas of the Mediterranean basin. Pregnancy is accompanied by changes in immune response, mainly a decrease in cellular immunity and a proportional increase in humoral immunity. These physiological events result in increased risk of infection by pathogens whose immunity is based on a T-helper 1 predominant response. We describe a case of visceral leishmaniasis and pulmonary tuberculosis diagnosed in a post-partum woman four days after delivery. The diagnosis of leishmaniasis should be considered in pregnant women with fever and haematologic abnormalities in endemic regions or if a history of exposure in endemic areas is reported.

• 出版日期2015-4