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[Visceral leishmaniasis and HIV infection: the diagnostic and therapeutic problems].
- Source :
-
Acta medica portuguesa [Acta Med Port] 1993 Nov; Vol. 6 (11), pp. 543-6. - Publication Year :
- 1993
-
Abstract
- We present the case of an HIV-seropositive drug addict patient whose seropositivity was unknown until admission to hospital, where he presented with a clinical picture of fever splenomegaly and weight loss. A diagnosis of visceral leishmaniasis was established. We stress the diagnostic difficulties well expressed in the need to repeat the bone marrow aspirate to detect the presence of leishmanias. The lack of response to conventional antimonial therapy is discussed as well as the role of pentamidine as an alternative therapy.
- Subjects :
- AIDS-Related Opportunistic Infections drug therapy
Adult
Animals
Drug Therapy, Combination
Fever diagnosis
HIV Seropositivity drug therapy
Hepatomegaly diagnosis
Heroin Dependence complications
Humans
Leishmania donovani isolation & purification
Leishmaniasis, Visceral drug therapy
Male
Splenomegaly diagnosis
AIDS-Related Opportunistic Infections diagnosis
HIV Seropositivity diagnosis
HIV-1 immunology
Leishmaniasis, Visceral diagnosis
Subjects
Details
- Language :
- Portuguese
- ISSN :
- 0870-399X
- Volume :
- 6
- Issue :
- 11
- Database :
- MEDLINE
- Journal :
- Acta medica portuguesa
- Publication Type :
- Academic Journal
- Accession number :
- 8140923