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Visceral leishmaniasis (kala-azar) caused by L. mexicana in a patient with AIDS

Kacie L Mitchell1, Matt C Smithhart1, Bill R Covington1,2

  • 1School of Medicine, Texas A&M Health Science Center, Bryan, Texas.

Proceedings (Baylor University. Medical Center)
|December 29, 2022
PubMed

We describe a patient with HIV who presented with hemophagocytic lymphohistiocytosis and nonspecific abdominal imaging findings. He was diagnosed with visceral leishmaniasis via bone marrow biopsy and treated in the hospital with amphotericin B infusions. Despite pharmacologic interventions, including amphotericin and miltefosine in addition to antiretroviral therapy, our patient experienced multiple relapses and a challenging clinical course.

Keywords:
HIVHemophagocytic lymphohistiocytosisLeishmania mexicanavisceral leishmaniasis

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