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Review Case Reports
Splenectomy for Visceral Leishmaniasis Out of an Endemic Region: A Case Report and Literature Review.
- Nebojsa Lekic, Boris Tadic, Vladimir Djordjevic, Dragan Basaric, Marjan Micev, Dragica Vucelic, Milica Mitrovic, and Nikola Grubor.
- Department for HBP Surgery, University Clinical Centre of Serbia, Clinic for Digestive Surgery, Koste Todorovica Street, No. 6, 11000 Belgrade, Serbia.
- Medicina (Kaunas). 2022 Jan 26; 58 (2).
AbstractVisceral leishmaniasis (also known as kala-azar) is characterized by fever, weight loss, swelling of the spleen and liver, and pancytopenia. If it is not treated, the fatality rate in developing countries can be as high as 100% within 2 years. In a high risk situation for perioperative bleeding due to severe thrombocytopenia/coagulopathy, we present a rare challenge for urgent splenectomy in a patient with previously undiagnosed visceral leishmaniasis. A histologic examination of the spleen revealed a visceral leishmaniasis, and the patient was successfully treated with amphotericin B.
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