[Isolated adenopathy in leishmaniasis due to Leishmania infantum].
BACKGROUND
Leishmaniasis is rarely manifested by isolated lymphadenitis in the mediterranean area, only 13 cases have been reported.


METHODS
An isolated cervical lymphadenitis was observed in a 37 year-old man living in the north of Tunisia. The fine needle aspiration of the enlarged lymph node found Leishmania in both direct examination and culture. Isoenzymatic typing identified Leishmania infantum MON-1. The evolution was slowly favourable without treatment.


CONCLUSIONS
Despite the rare number of cases described, looking for leishmaniasis should be systematic when confronted with lymphadenitis in endemic areas. The therapeutic decision depends on the immunological status of the patients and the possibility of regular medical controls.
Aoun
Karim
K
Laboratoire de parasitologie, Institut Pasteur, Tunis, 13, Pl Pasteur BP 74, 1002 Tunis, Tunisie. Karim.Aoun@fmt.rnu.tri
Ben Romdhane
Neyla
N
Bouratbine
Aîda
A
Limam
Fériel
F
D000328:Adult; D000818:Animals; D001706:Biopsy; D003937:Diagnosis, Differential; D006801:Humans; D018314:Leishmania infantum / Q000145:classification; D007898:Leishmaniasis, Visceral / Q000175:diagnosis* / Q000473:pathology; D008198:Lymph Nodes / Q000473:pathology; D008199:Lymphadenitis / Q000175:diagnosis* / Q000473:pathology; D008297:Male; D009333:Neck; D014416:Tunisia