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|Title: ||Cutaneous leishmaniasis during pregnancy: exuberant lesions and potential fetal complications|
|Other Titles: ||Clinical Infectious Diseases|
|Authors: ||Morgan, Daniel J.|
Guimaraes, Luiz H.
Machado, Paulo Roberto Lima
D'Oliveira Junior, Argemiro
Almeida, Roque Pacheco de
Lago, Ednaldo Lima
Carvalho Filho, Edgar Marcelino de
Faria, Daniela R.
Tafuri, Wagner L.
Dutra, Walderez Ornelas
|Keywords: ||Leishmaniasis;Pregnancy;Fetal Diseases|
|Issue Date: ||2007|
|Abstract: ||Cutaneous leishmaniasis affects millions of people worldwide. After observations of atypical lesions in pregnant women at the health centers of Corte de Pedra, Brazil, 9 years of records were reviewed, and 26 pregnant patients were identified. A retrospective case-control study revealed that lesions in pregnant women were much larger than those in nonpregnant patients in an age- and sex-matched group (mean area, 6.08 cm2 vs. 1.46 cm2; P = .008), and many lesions had an exophytic nature. Despite foregoing treatment until after delivery, response to pentavalent antimony therapy was favorable (rate of cure with 1 course of treatment, 85%). High rates of preterm births (10.5%) and stillbirths (10.5%) were reported. Cutaneous leishmaniasis during pregnancy produces distinct lesions and may have adverse fetal effects.|
|Description: ||Texto completo: acesso restrito. p. 478-482|
|Appears in Collections:||Artigos Publicados em Periódicos (Medicina)|
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