The American journal of case reports · 2018
Leishmania in a Patient with Small Lymphocytic Lymphoma/Chronic Lymphocytic Leukemia.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Nicolas Gregory, Koury Elliott, Osman Dani, Saliba Christian, Nehme Lea, Mitri Stephanie, El Sayegh Julien-Sami Atef, Rached Linda, Khoury George
Аннотация
BACKGROUND Leishmaniasis is a parasitic infection spread by the bite of infected sand flies that are usually present in the Middle East, Africa, and some parts of Asia and Europe. Leishmaniasis manifests in 3 different forms: Visceral (also known as Kala Azar), which is the most serious type; cutaneous, which is the most common type; and mucocutaneous. The symptoms of this infection range from a silent infection to fever, enlargement of the liver and spleen, weight loss, and pancytopenia. CASE REPORT In this case report, we discuss a 73-year-old man known to have chronic lymphocytic leukemia (CLL), presenting with unremitting fever and who to our surprise was found to have Kala Azar. CONCLUSIONS Early diagnosis and treatment are very important in treating visceral leishmaniasis. While the conventional treatment in immunocompromised patients is liposomal amphotericin B, our patient responded to corticosteroids.