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Current clinical, laboratory, and treatment outcome characteristics of visceral leishmaniasis: results from a seven-year retrospective study in Greece
dc.creator | Georgiadou, S. P. | en |
dc.creator | Stefos, A. | en |
dc.creator | Spanakos, G. | en |
dc.creator | Skrimpas, S. | en |
dc.creator | Makaritsis, K. | en |
dc.creator | Sipsas, N. V. | en |
dc.creator | Dalekos, G. N. | en |
dc.date.accessioned | 2015-11-23T10:27:37Z | |
dc.date.available | 2015-11-23T10:27:37Z | |
dc.date.issued | 2015 | |
dc.identifier | 10.1016/j.ijid.2015.02.021 | |
dc.identifier.issn | 1201-9712 | |
dc.identifier.uri | http://hdl.handle.net/11615/27755 | |
dc.description.abstract | Objectives: Visceral leishmaniasis (VL) is re-emerging in endemic areas. The epidemiological, clinical, laboratory, and treatment outcome characteristics in a large cohort of VL patients is described herein. Methods: The cases of 67 VL patients (57% male, mean age 56 years) treated in two Greek hospitals over the last 7 years were identified and evaluated retrospectively. Results: Forty-six percent of patients reported contact with animals. Seventeen patients (25%) were immunocompromised, and 22% were co-infected with another pathogen. Sixty-four percent of patients had fever, 57% had weakness, 37% had sweats, 21% had weight loss, and 13% had a dry cough, while 6% developed haemophagocytic syndrome. The median duration of symptoms was 28 days. Fifty-eight percent of patients had splenomegaly, 49% had hepatomegaly, and 36% had lymphadenopathy. The diagnosis was established by positive PCR in peripheral blood (73%) and/or bone marrow specimens (34%). Sixty-one patients (91%) received liposomal amphotericin (L-AMB). Six patients (10%) did not respond or relapsed but were eventually cured after a second cycle of L-AMB. During a 6-month followup, the overall mortality was 9%, although none of these deaths was attributed to VL. Conclusions: VL is still a common disease in endemic areas, affecting immunocompetent and immunocompromised patients. Its diagnosis is challenging, and molecular techniques are valuable and helpful tools to achieve this. Treatment with L-AMB is safe and very effective. (C) 2015 The Authors. Published by Elsevier Ltd on behalf of International Society for Infectious Diseases. | en |
dc.source | International Journal of Infectious Diseases | en |
dc.source.uri | <Go to ISI>://WOS:000355926800009 | |
dc.subject | Visceral leishmaniasis | en |
dc.subject | Parasite | en |
dc.subject | Liposomal amphotericin | en |
dc.subject | Haemophagocytic syndrome | en |
dc.subject | PCR | en |
dc.subject | LIPOSOMAL AMPHOTERICIN-B | en |
dc.subject | PCR-BASED METHOD | en |
dc.subject | BACTERIAL-INFECTIONS | en |
dc.subject | DIAGNOSIS | en |
dc.subject | DISEASE | en |
dc.subject | SAMPLES | en |
dc.subject | EFFICACY | en |
dc.subject | BLOOD | en |
dc.subject | CRETE | en |
dc.subject | Infectious Diseases | en |
dc.title | Current clinical, laboratory, and treatment outcome characteristics of visceral leishmaniasis: results from a seven-year retrospective study in Greece | en |
dc.type | journalArticle | en |
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