Leishmaniasis visceral en Santa Cruz-Bolivia a proposito de un caso importado / Viceral Leishmaniasis in Santa Cruz-Bolivia a purpose of a imported case

ABSTRACT

A case of viceral leishmaniasis in Santa Cruz, Bolivia herewith is described, forty years after the last case was reported (1949). The geographic history aloows us to conclude that the disease was contracted in Corumba (Brasil) a town close to the Bolivian border. The authors present the case, its treatment and evolution and discussion on the differential diagnosis of febril splenomegaly. On the basis of the fact that there is an endemic area in Bolivia (Yungas), the evidence of sporadic cases and the existence of the disease in the neighbouring countries, the authors recommended the sistematic detecccion of new cases on a clinical suspicion basis