CAJ | 학술논문

内脏利什曼病又名黑热病，是通过中华白蛉叮咬而传播的慢性地方性传染病，属人畜共患疾病，目前临床上已较少见，极易误诊。其临床表现主要为不规则发热，肝、脾、淋巴结肿大以及贫血等。该文报道1例以不规则发热、肝与脾肿大及全血细胞减少为主要表现的内脏利什曼病患儿，于其骨髓涂片中发现利什曼原虫的无鞭毛体，遂确诊，给予葡萄糖酸锑钠治疗后，患儿病情好转，肝、脾明显缩小，血常规及骨髓象恢复正常。因此，骨髓细胞形态学检查对于诊断内脏利什曼病极为重要。
내장리십만병우명흑열병，시통과중화백령정교이전파적만성지방성전염병，속인축공환질병，목전림상상이교소견，겁역오진。기림상표현주요위불규칙발열，간、비、림파결종대이급빈혈등。해문보도1례이불규칙발열、간여비종대급전혈세포감소위주요표현적내장리십만병환인，우기골수도편중발현리십만원충적무편모체，수학진，급여포도당산제납치료후，환인병정호전，간、비명현축소，혈상규급골수상회복정상。인차，골수세포형태학검사대우진단내장리십만병겁위중요。
Visceral leishmaniasis,also known as Kala-azar,is a chronic endemic infectious disease caused by phlebotomus chinensis,which can infect both human and animals.At present,it is rarely reported in clinical practice and likely to be misdiagnosed.This disease is clinically manifested with irregular fever,hepa-tosplenomegaly,lymphadenopathy and anemia,etc.In this paper,we reported one suspected case of Kala-azar presenting with fever,hepatosplenomegaly and pancytopenia.The diagnosis was confirmed by identifying Leish-mania donovani amastigotes through bone marrow smears.After treated with sodium stiboglucinate,the child was improved.The size of liver and spleen was significantly reduced and routine blood and bone marrow exami-nations revealed normal outcomes.Consequently,bone marrow cell morphological examination is of significance in the diagnosis of visceral leishmaniasis.