title: Leishmaniasis in a heart transplant patient.
abstract: Infection is a well-recognized complication of immunosuppressive therapy. We describe a case of leishmaniasis in a 62-year-old man who was undergoing immunosuppressive therapy because of heart transplantation. A geologist and native Texan, the patient had traveled extensively in south-central Texas, but not outside of the continental United States. Cutaneous lesions of the extremities developed, which were diagnosed histologically as leishmaniasis and confirmed by means of transmission electron microscopy. Cultures grew Leishmania mexicana. Treatment with sodium antimony gluconate was successful in healing the infective lesions.
authors.affiliation: Department of Cardiovascular Surgery, Texas Heart Institute, Houston 77225-0345.
authors.forename: A
authors.initials: A
authors.lastname: Golino
authors.forename: J M
authors.initials: JM
authors.lastname: Duncan
authors.forename: B
authors.initials: B
authors.lastname: Zeluff
authors.forename: J
authors.initials: J
authors.lastname: DePriest
authors.forename: H A
authors.initials: HA
authors.lastname: McAllister
authors.forename: B
authors.initials: B
authors.lastname: Radovancevic
authors.forename: O H
authors.initials: OH
authors.lastname: Frazier
mesh_terms: D000818:Animals; D000967:Antimony Sodium Gluconate / Q000627:therapeutic use; D001706:Biopsy; D016027:Heart Transplantation; D006801:Humans; D007165:Immunosuppression Therapy / Q000009:adverse effects*; D007894:Leishmania mexicana / Q000302:isolation & purification; D016773:Leishmaniasis, Cutaneous / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D012867:Skin / Q000473:pathology
chemical_list: D000967:Antimony Sodium Gluconate