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Revista Brasileira de Ginecologia e Obstetrícia
On-line version ISSN 1806-9339
FIGUEIRO FILHO, Ernesto Antonio et al. Visceral leishmaniasis (kala-azar) and pregnancy: a case report. Rev. Bras. Ginecol. Obstet. [online]. 2005, vol.27, n.2, pp.92-97. ISSN 1806-9339. http://dx.doi.org/10.1590/S0100-72032005000200009.
Visceral leishmaniasis (VL) is an endemic disease in the state of Mato Grosso do Sul, Brazil, mainly in the areas near the Paraguay and Paraná rivers. An increasing number of cases have been occurring especially in the state capital Campo Grande, with consequent occurrence of VL cases in pregnant women. This situation causes an elevated risk of vertical transmission of the parasite. In this report, we describe a case of VL in a pregnant woman followed up by our group, who was treated with liposomal amphotericin B, with no vertical transmission of the parasite. In our report, we demonstrate a therapeutic option for kala-azar during pregnancy, since antimoniate, the first-choice drug, is not prescribed during the gestational period.
Keywords : Visceral leishmaniasis; Pregnancy; Tropical infection; Vertical transmission.