Clinical microbiological case: esophageal lesion in an aids patient

Canet, J; Julià, Joaquim; Martinez‐Lacasa, Javier; Garau, Javier

doi:10.1046/j.1469-0691.2003.00748.x

Cited by 5 publications

(1 citation statement)

References 12 publications

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“…There have been reports of esophageal and laryngeal leishmaniasis in different regions of the world. [12][13][14] Cutaneous lesions may occur before or after the development of VL, including macules, papules, nodules, and ulcers. In our patient, the skin lesions were macular (Figure 2A) and preceded the systemic VL manifestations.…”

Section: Discussionmentioning

confidence: 99%

Case Report: Atypical Presentation of Visceral Leishmaniasis: Two Cases from Northwest Ethiopia

Mohammed

Fikre

Mekonnen

et al. 2021

The American Journal of Tropical Medicine and Hygiene

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Human visceral leishmaniasis (VL) is a life-threatening disease caused by protozoan parasites belonging to the Leishmania donovani complex. Atypical cases of leishmaniasis and HIV coinfection have been documented in case reports, mostly associated with gastrointestinal tract, kidney, and skin involvement. We report two VL cases with atypical localizations not reported from east Africa before, both diagnosed and treated at the Leishmaniasis Research and Treatment Center, Gondar, Ethiopia. The first case was an HIV-infected patient with scrotal and penile involvement. Leishmania parasites were detected in the spleen and the scrotum. The second case was an immunocompetent individual with esophageal, laryngeal, and pharyngeal involvement and facial lesions. Leishmania parasites were detected in the spleen, skin, and esophageal biopsies. Current evidence suggests atypical presentation can occur in patients irrespective of their HIV status. Therefore; we suggest a high index of suspicion for VL among clinicians working in endemic areas of Ethiopia.

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Section: Discussionmentioning

confidence: 99%