Visceral Leishmaniasis With Endobronchial Involvement In An Immunocompetent Adult

Kotsifas, Konstantinos; Metaxas, Eugenios; Takou, Anna; Fasianos, Marinos; Sotiriou, Adamantia; Tatsis, Giorgos

doi:10.1164/ajrccm-conference.2010.181.1_meetingabstracts.a4727

Cited by 2 publications

(3 citation statements)

References 9 publications

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“…They concluded that bronchoscopic examination could detect otherwise undiagnosed pulmonary involvement in VL. [ 11 ] Though bronchoscopic examination was not performed in our patient, bone-marrow aspiration was done. Amastigote forms of L. donovani were demonstrated in the aspirate smears, which confirmed the diagnosis of VL.…”

Section: Discussionmentioning

confidence: 99%

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Visceral leishmaniasis with pleural effusion in an immunocompetent patient

et al. 2014

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Visceral leishmaniasis (VL) is usually characterized by splenomegaly, pallor and fever. Pleural effusion is an uncommon feature of this disease, which is encountered in immunocompromised patients. Here, we report a case of VL with pleural effusion in an immunocompetent patient. Pulmonary symptoms in VL are usually related to bacterial lung infection, vagal nerve compression by splenomegaly, and hypoalbuminaemia with mild pulmonary edema. Our patient presented with cough and chest pain. The clinical features of this case were baffling since they mimicked that of pulmonary tuberculosis. This case report emphasizes the need to recognize the diverse nature of presentation of this curable yet fatal infectious disease.

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Section: Discussionmentioning

confidence: 99%

“…They highlighted that cough should not be overlooked as a presenting symptom of VL and may be a sign of pulmonary involvement. [ 11 ]…”

Section: Discussionmentioning

confidence: 99%

Visceral leishmaniasis with pleural effusion in an immunocompetent patient

et al. 2014

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“…Visceral leishmaniasis with pulmonary involvement and endobronchial disease was described by Kotsifas et al in immunocompetent patient who presented with a cough and hemoptysis. Bronchoscopy showed mucosal polypoid lesions and biopsy was consistent with leishmania infection (134). A case report of Strongyloides stercoralis causing CAO resulted in death from hemoptysis.…”

Section: Bronchoscopic Findings In Parasitic Caoimentioning

confidence: 82%

Infections causing central airway obstruction: role of bronchoscopy in diagnosis and management

Keshishyan¹,

DeLorenzo²,

Hammoud³

et al. 2017

J. Thorac. Dis.

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Central airway obstructive infections (CAOI) are challenging medical conditions that may represent an advanced and complicated process of ongoing infections. The epidemiology of CAOI is unknown as well as the pathophysiology and the mechanism of development. This is due to sparse data in the literature that consists mainly of case reports and retrospective case series. CAOI can be caused by fungal, bacterial, parasitic and viral infections. Most patients with CAOI can be diagnosed clinically and with chest imaging, which demonstrate obstruction of the central airways. However, bronchoscopy is commonly used to confirm and obtain a specific diagnosis to guide specific therapy. In recent years, interventional pulmonology (IP) is becoming widely available and offer a minimally invasive approach for the management of central airway diseases such as cancers, benign strictures, and other conditions. Various bronchoscopic modalities are used to treat central airway obstruction (CAO), such as mechanical debulking, endobronchial laser therapy, electrocautery, argon plasma coagulation, cryotherapy, and airway stenting. In patients with CAOI, the role of therapeutic bronchoscopy is not clearly defined, but many isolated reports in the literature described bronchoscopic intervention in combination with medical therapy as the initial management approach. In this paper, we present cases of CAOI that underwent bronchoscopic intervention as part of their management. We described the infectious etiology, locations, bronchoscopic findings and bronchoscopic modalities for airway management.

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Visceral Leishmaniasis With Endobronchial Involvement In An Immunocompetent Adult

Cited by 2 publications

References 9 publications

Visceral leishmaniasis with pleural effusion in an immunocompetent patient

Visceral leishmaniasis with pleural effusion in an immunocompetent patient

Infections causing central airway obstruction: role of bronchoscopy in diagnosis and management

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