利什曼病常呈现诸多症状及一些少见的临床表现。有一克罗地亚的9岁男孩患有近似胶原疾病症状和体征的利什曼病。由于未能正确诊断,故开始使用强的松治疗。作者对其血清学反应进行了观察。 1993年4月,该男孩因突然发病,包括脑病,肌肉疼痛和不能活动而入院。在骨髓穿刺液检查中,未发现无鞭毛体。根据皮肤活检和血清肌酸酶升高,被诊断为皮肌炎,用皮质 Leishmaniasis often presents with many symptoms and some rare clinical manifestations. A 9-year-old boy from Croatia suffers from leishmaniasis that is similar to the symptoms and signs of collagen disease. As the failure to correct diagnosis, it began to use prednisone treatment. The authors observed their serological response. In April 1993, the boy was admitted to hospital for sudden onset of illness, including encephalopathy, muscle aches and inability to move. In the bone marrow aspirate examination, no amastigotes were found. According to the skin biopsy and serum creatine kinase increased, was diagnosed with dermatomyositis, with cortex