1983 - Clinical presentation of visceral leishmaniasis in Kenya. Clinical aspects of Kalaazar in Kenya chapter 5 pg. 37. Kager, Rees, Bhatt, Manguyu, Hock Meyer, Wellde and Lyerly.

Citation:
M PROFBHATTKIRNA. "1983 - Clinical presentation of visceral leishmaniasis in Kenya. Clinical aspects of Kalaazar in Kenya chapter 5 pg. 37. Kager, Rees, Bhatt, Manguyu, Hock Meyer, Wellde and Lyerly.". In: Trop Geogr Med. 1984 Mar;36(1):21-35. Vaccine 26:2788- 2795; 1983.

Abstract:

At the beginning of the century, splenectomy was used in the treatment of kala-azar, but now is rarely needed, the major indication being for drug resistant kala-azar. Inadvertent splenectomy prior to the diagnosis of kala-azar continues to occur, probably because of a reluctance to perform splenic aspiration in the investigation of splenomegaly. Five Kenyan children underwent splenectomy for drug resistant kala-azar. All were immediately improved, but one died of overwhelming post splenectomy infection (OPSI) two months later and another of a malignant lymphoma seven months after surgery. The other three patients appear to be cured. Splenectomy was considered in a sixth child with kala-azar because of a Salmonella abscess in the spleen, but the abscess ruptured catastrophically before surgery could be arranged.

Notes:

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