Concurrent cutaneous, visceral and ocular leishmaniasis caused by Leishmania (Viannia) braziliensis in a kidney transplant patient
Mem. Inst. Oswaldo Cruz
;
97(5): 751-753, July 2002. ilus
Artigo
em Inglês
| LILACS
| ID: lil-321205
RESUMO
Although cases of leishmaniasis co-infection have been described in acquired immunodeficiency syndrome patients as well as those who have undergone organ transplants, to our knowledge, the present report is the first documented case of simultaneous cutaneous, visceral and ocular leishmaniasis due to Leishmania (Viannia) braziliensis in a transplant patient. The patient had been using immunosuppressive drugs since receiving a transplanted kidney. The first clinical signs of leishmaniasis included fever, thoracic pain, hepatosplenomegaly, leucopenia and anemia. The cutaneous disease was revealed by the presence of amastigotes in the skin biopsy. After three months, the patient presented fever with conjunctive hyperemia, intense ocular pain and low visual acuity. Parasites isolated from iliac crest, aqueous humor and vitreous body were examined using a range of molecular techniques. The same strain of L. (V.) braziliensis was responsible for the different clinical manifestations. The immunosuppressive drugs probably contributed to the dissemination of Leishmania
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Leishmania braziliensis
/
Infecções Oculares Parasitárias
/
Terapia de Imunossupressão
/
Transplante de Rim
/
Leishmaniose Cutânea
/
Leishmaniose Visceral
Limite:
Animais
/
Humanos
/
Masculino
País/Região como assunto:
América do Sul
/
Brasil
Idioma:
Inglês
Revista:
Mem. Inst. Oswaldo Cruz
Assunto da revista:
Medicina Tropical
/
Parasitologia
Ano de publicação:
2002
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
Faculdade de Ciências Médicas de Minas Gerais/BR
/
Fiocruz/BR
/
UFMG/BR
/
Universidade do Estado de Minas Gerais/BR
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