Visceral Leishmaniasis with an Unusual Presentation in an HIV Positive Patient
Journal Title: Sultan Qaboos University Medical Journal - Year 2011, Vol 11, Issue 2
Abstract
Visceral leishmaniasis is a disease caused by a haemoflagellate protozoan of the genus Leishmania. It has a wide geographical spread. Classic cases are found primarily in children and present with typical features that include fever, anaemia, hepatosplenomegaly, hypergammaglobulinaemia, and pancytopenia. Te diagnosis is usually achieved by bone marrow smears, culture and serology; however, it can manifest itself atypically, mostly in patients infected with HIV and geriatric immunocompetent patients. We report an unusual case of visceral leishmaniasis diagnosed in a 27 year-old HIV-infected male who presented with abdominal discomfort and diarrhoea of four weeks duration associated with nausea and vomiting, but with no typical symptoms or signs of visceral leishmaniasis. Te diagnosis was established through the identifcation of the Leishmania organism in duodenal and colonic biopsies and confrmed by subsequent bone marrow smears.
Authors and Affiliations
Nazar M. T. Jawhar| Department of Pathology, Nineveh Medical College, University of Mosul, Iraq
Keywords
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