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Clinical and tomographic evaluation in children with Human Visceral Leishmaniosis
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Keywords

Leishmaniasis visceral
Signs and symptoms, respiratory
Children
Lung injury

How to Cite

Clinical and tomographic evaluation in children with Human Visceral Leishmaniosis. (2021). Revista Eletrônica Acervo Científico, 26, e7192. https://doi.org/10.25248/reac.e7192.2021

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Abstract

Objective: To evaluate the existence of respiratory symptoms in pediatric patients with Visceral Leishmaniasis (VL), to identify tomographic changes and to associate respiratory symptoms and lung involvement. Methods: This is an observational study, with a quantitative approach and cross-sectional design not compared evaluating 22 patients with confirmed diagnosis of VL admitted to the pediatric ward of a university hospital, between January 2015 and July 2018. Users were investigated for symptoms through anamnesis and physical examination and were subsequently referred for X-ray and high-resolution computed tomography (HRCT) of the chest. Results: The mean age was 6.9 years and the male gender predominated (59%). The frequency of respiratory manifestations was 27.3%. The most common respiratory symptom was cough (22.7%), 18.2% of the cases being productive and 4.5% being dry. The second respiratory symptom was tachypnea (9.1%). There was no evidence of chest pain or other respiratory symptoms. HRCT was considered altered in 50% of cases. No association was found between respiratory symptoms and tomographic changes. Conclusion: It is concluded that respiratory symptoms are frequent in children with VL, as well as pulmonary impairment demonstrated through tomographic changes.

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