Visceral leishmaniasis in heart transplant patients in the endemic state of Ceará, Brazil: a report of two cases<br>Leishmaniose visceral em pacientes submetidos a transplante cardíaco no estado do Ceará, área endêmica no Brasil: um relato de dois casos

Autores

  • Bráulio Matias de Carvalho Hospital de Messejana Dr. Carlos Alberto Studart Gomes
  • Debora de Souza Colares Maia Castelo Branco Universidade Federal do Ceará (UFC)
  • Paulo Alberto Cosquillo Valdivia Universidade Federal do Ceará (UFC)
  • Marcos Fábio Gadelha Rocha Universidade Federal do Ceará (UFC)
  • Raimunda Sâmia Nogueira Brilhante Universidade Federal do Ceará (UFC)
  • João David de Souza Neto Hospital de Messejana Dr. Carlos Alberto Studart Gomes
  • Glauber Gean Vasconcelos Hospital de Messejana Dr. Carlos Alberto Studart Gomes
  • Germana Porto Linhares Almeida Hospital de Messejana Dr. Carlos Alberto Studart Gomes
  • Juan Alberto Cosquillo Mejia Hospital de Messejana Dr. Carlos Alberto Studart Gomes
  • Tereza de Jesus Pinheiro Gomes Bandeira Centro Universitário Christus (UNICHRISTUS)
  • José Júlio Costa Sidrim Universidade Federal do Ceará (UFC)

DOI:

https://doi.org/10.12662/2317-3076jhbs.v4i1.249.p47-49.2016

Palavras-chave:

Visceral leishmaniasis, Heart transplant, Immunosuppression, Parasitic infections, Transplant recipient

Resumo

Visceral leishmaniasis (VL) in transplant patients is a serious disease, with atypical and aggressive manifestations, compromising patient survival. During the period from 2008 to 2012, 126 heart transplants were performed in the state of Ceará, Brazil, of which, two patients developed VL. Fever, pancytopenia and hepatosplenomegaly were the common clinical signs. Both patients were diagnosed and properly treated, but the first one had a clinical relapse and died, five months after treatment. These findings emphasize the importance of investigating VL in heart-transplant patients in endemic areas and highlight the importance of early diagnosis and treatment for favorable clinical outcomes.

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Publicado

2016-03-29