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Leishmania in a Patient with Small Lymphocytic Lymphoma/Chronic Lymphocytic Leukemia
- Source :
- The American Journal of Case Reports
- Publication Year :
- 2018
- Publisher :
- International Scientific Literature, Inc., 2018.
-
Abstract
- Patient: Male, 73 Final Diagnosis: Leishmania Symptoms: Fever Medication: — Clinical Procedure: — Specialty: Oncology Objective: Unusual clinical course 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.
- Subjects :
- 0301 basic medicine
Male
medicine.medical_specialty
Fever
Chronic lymphocytic leukemia
030106 microbiology
Mucocutaneous zone
Antiprotozoal Agents
Spleen
Medical Oncology
03 medical and health sciences
Immunocompromised Host
Amphotericin B
parasitic diseases
medicine
Humans
Methylprednisolone Hemisuccinate
Glucocorticoids
Aged
biology
business.industry
Leishmaniasis
General Medicine
Articles
medicine.disease
Leishmania
biology.organism_classification
Pancytopenia
Dermatology
Leukemia, Lymphocytic, Chronic, B-Cell
Laparoscopes
Leukemia
medicine.anatomical_structure
Visceral leishmaniasis
General Surgery
Leishmaniasis, Visceral
business
Subjects
Details
- Language :
- English
- ISSN :
- 19415923
- Volume :
- 19
- Database :
- OpenAIRE
- Journal :
- The American Journal of Case Reports
- Accession number :
- edsair.doi.dedup.....251bf35a90b5294b9b5b98c9074f3861