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Published on: April 21, 2012
Visceral leishmaniasis in a patient treated for polyarteritis nodosa
1Department of Medicine IV, Azienda Ospedaliera Pisana, via Paradisa 2, 56100 Pisa, Italy.
Abstract:
We report a case of visceral leishmaniasis in a patient receiving steroids and cyclophosphamide for polyarteritis nodosa. The clinical presentation of leishmaniasis, with fever, pancitopenia and hypergammaglobulinemia may be confused with a reactivation of vasculitis or with other non-infectious conditions such as haematologic diseases. In endemic areas, the case of latent leishmaniasis must be considered and serology for Leishmania should be performed before starting immunosuppressive treatment.
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