title: Visceral leishmaniasis in a German child who had never entered a known endemic area: case report and review of the literature.
abstract: We describe a case of visceral leishmaniasis in a 15-month-old German child. Diagnosis was significantly delayed because the patient had no history of travel to known endemic areas. Congenital or blood transfusion-associated leishmaniasis was ruled out. Possible modes of transmission (including a potential new autochthonous focus of the disease in central Europe) are discussed.
authors.affiliation: Institute for Clinical Microbiology, Immunology and Hygiene, University of Erlangen, Germany. christian.bogdan@mikrobio.med.uni-erlangen.de
authors.forename: C
authors.initials: C
authors.lastname: Bogdan
authors.forename: G
authors.initials: G
authors.lastname: Schönian
authors.forename: A L
authors.initials: AL
authors.lastname: Bañuls
authors.forename: M
authors.initials: M
authors.lastname: Hide
authors.forename: F
authors.initials: F
authors.lastname: Pratlong
authors.forename: E
authors.initials: E
authors.lastname: Lorenz
authors.forename: M
authors.initials: M
authors.lastname: Röllinghoff
authors.forename: R
authors.initials: R
authors.lastname: Mertens
mesh_terms: D000818:Animals; D000913:Antibodies, Protozoan / Q000097:blood; D005858:Germany; D006801:Humans; D007223:Infant; D018314:Leishmania infantum / Q000276:immunology / Q000302:isolation & purification; D007898:Leishmaniasis, Visceral / Q000276:immunology / Q000469:parasitology / Q000635:transmission*; D008264:Macrophages / Q000469:parasitology; D008297:Male
chemical_list: D000913:Antibodies, Protozoan