以未分化结缔组织病为首发临床表现的黑热病1例  

A case of kala-azar with undifferentiated connective tissue disease as the first clinical manifestation

作　　者：张颖 任英 权会琴 张岩 ZHANG Ying;REN Ying;QUAN Huiqin;ZHANG Yan(Infectious Diseases Department,the Second Affiliated Hospital of Air Force Military Medical University,Xi'an 710038,China;Rheumatology and Immunology Department,the Second Affiliated Hospital of Air Force Military Medical University,Xi'an 710038,China)

机构地区：[1]空军军医大学第二附属医院传染科,陕西西安710038 [2]空军军医大学第二附属医院风湿免疫科,陕西西安710038

出　　处：《临床医学研究与实践》2021年第12期1-3,共3页Clinical Research and Practice

摘　　要：黑热病也称为内脏利什曼病,主要是由杜氏利什曼原虫感染引起,经白蛉叮咬传播的慢性地方性传染病。由于黑热病临床表现多样,鉴别比较困难,需要特殊的诊断方法才能确定病原。除了典型临床表现,黑热病患者可能有自身免疫性指标异常或类似血液系统疾病症状等,很容易误诊。本文报道1例以未分化结缔组织病为首发临床表现的特殊黑热病病例,分析其临床特点和诊治过程,总结临床经验,旨在增强临床医师对黑热病的认识,提高诊治水平。Kala-azar,also known as visceral leishmaniasis,is a chronic endemic disease caused by Leishmania donovani infection and transmitted by the bite of sandflies.Due to the variety of clinical manifestations of kala-azar,it is difficult to identify the pathogen,and special diagnostic methods are needed.In addition to the typical clinical manifestations,patients with kala-azar may have abnormal autoimmune indexes or similar symptoms of blood system diseases,which are easy to be misdiagnosed.This paper reports a case of special kala-azar with undifferentiated connective tissue disease as the first clinical manifestation,analyzes its clinical characteristics,diagnosis and treatment process,and summarizes clinical experience,so as to enhance clinicians'understanding of kala-azar and improve the level of diagnosis and treatment.

关 键 词：黑热病 未分化结缔组织病 杜氏利什曼原虫 

分 类 号：R531.6[医药卫生—内科学]