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01 May 2018 : Case report  Lebanon

Leishmania in a Patient with Small Lymphocytic Lymphoma/Chronic Lymphocytic Leukemia

Unusual clinical course, Unusual or unexpected effect of treatment, Patient complains / malpractice, Educational Purpose (only if useful for a systematic review or synthesis)

Gregory Nicolas1ABDEF*, Elliott Koury2CDEF, Dani Osman1BDFG, Christian Saliba1BCEF, Lea Nehme3BCEF, Stephanie Mitri4BCDF, Julien-Sami Atef El Sayegh1CDF, Linda Rached1CD, George Khoury1CDFG

DOI: 10.12659/AJCR.907584

Am J Case Rep 2018; 19:512-516

Abstract

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.

Keywords: general surgery, Laparoscopes, Medical Oncology

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923