Is splenectomy an option for multiple relapses in a child with visceral leishmaniasis? A case report

Abstract Visceral leishmaniasis (VL) is an infectious disease caused by Leishmania spp. The recurrence of the disease occurs, in general, in patients with decreased or loss of T-cell function, whether due to the use of corticosteroids, immunosuppressive disease, or another cause. In some cases, sple...

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Bibliographic Details
Published in:Revista da Sociedade Brasileira de Medicina Tropical
Main Authors: Marcos Adriano Garcia Campos, Andrey Salgado Moraes Filho, Gustavo Ribeiro Féres Moraes Rêgo, Raphael Oliveira Lima Silva, Rebeca Aranha Barbosa Sousa, Yolande Pokam Tchuisseu, Gyl Eanes Barros Silva, Mônica Elinor Alves Gama
Format: Article in Journal/Newspaper
Language:English
Published: Sociedade Brasileira de Medicina Tropical (SBMT) 2021
Subjects:
Splenectomy
Leishmaniasis
Recurrence
Arctic medicine. Tropical medicine
RC955-962
Arctic
Online Access:https://doi.org/10.1590/0037-8682-0748-2020
https://doaj.org/article/769333423995406ab149805d85b47472
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Summary:Abstract Visceral leishmaniasis (VL) is an infectious disease caused by Leishmania spp. The recurrence of the disease occurs, in general, in patients with decreased or loss of T-cell function, whether due to the use of corticosteroids, immunosuppressive disease, or another cause. In some cases, splenectomy may be a therapeutic option. However, the effectiveness of splenectomy is not well defined. This report describes the evolution of a pediatric patient with seven recurrences of VL, who relapsed post-surgery after drug therapy and splenectomy.

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