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本文报道了印度近60年来发现的第二例先天性黑热病。患儿于1986年5月出生时完全正常,但在6周龄时曾有发热与腹泻,持续了3个月。于11月龄时因持续双峰型高热1个月而被收治。住院时检查:患儿营养不良,面色苍白,肝脾肿大分别为肋下3和5cm,血色素4.5g/dl,白细胞4800/μl(其中中性粒细胞为20％,淋巴细胞为76％,大单核细胞为4％),血沉70mm/小时,网状细胞0.7％,血小板8000/μl,胎儿血红蛋白2.9％,血清总蛋白量为6.1g/μl,其中自蛋白3.4g/dl,球蛋白2.7g/d1,IgG为1328mg/dl,IgM为199
This article reports the second case of congenital kala-azar found in India in the past 60 years. The child was completely normal at birth in May 1986 but had fever and diarrhea at 6 weeks of age for 3 months. At 11 months of age due to persistent bimodal fever for 1 month was admitted. Hospitalization check: Children malnutrition, pale, hepatosplenomegaly were ribs 3 and 5cm, hemoglobin 4.5g / dl, white blood cells 4800 / l (of which 20% of neutrophils, lymphocytes 76% Large monocytes 4%), erythrocyte sedimentation rate 70mm / hour, reticulocyte 0.7%, platelet 8000 / μl, fetus hemoglobin 2.9%, total serum protein 6.1g / μl, of which 3.4g / dl from protein, globulin 2.7 g / dl, IgG 1328 mg / dl, IgM 199