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Visceral leishmaniasis: a case report.

P Suttinont1, C Thammanichanont, N Chantarakul

  • 1Department of Pathology and Medicine, Maharat Nakhonratchasima Hospital, Nakhonratchasima Province, Thailand.

The Southeast Asian Journal of Tropical Medicine and Public Health
|March 1, 1987
PubMed
Summary

Visceral leishmaniasis was diagnosed in a returning Thai worker. Diagnosis was confirmed via liver biopsy and bone marrow aspiration, with treatment using Amphotericin B.

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Area of Science:

  • * Tropical Medicine
  • * Parasitology
  • * Infectious Diseases

Background:

  • * Visceral leishmaniasis (kala-azar) is a serious parasitic disease endemic in tropical regions.
  • * Travelers returning from endemic areas can present with atypical or delayed symptoms.

Observation:

  • * A 39-year-old Thai male presented with symptoms including abdominal swelling, weight loss, and hepatosplenomegaly.
  • * Laboratory findings revealed hyperglobulinemia, suggesting an inflammatory or infectious process.

Findings:

  • * Microscopic identification of the Leishmania organism in liver biopsy and bone marrow aspirates confirmed the diagnosis.
  • * The causative organism was successfully identified through invasive diagnostic procedures.

Implications:

  • * This case highlights the importance of considering visceral leishmaniasis in returning travelers with unexplained hepatosplenomegaly and constitutional symptoms.
  • * Prompt diagnosis and treatment with Amphotericin B are crucial for managing visceral leishmaniasis and preventing complications.

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