[Bronchioloalveolar adenoma associated with bronchiolitis obliterans and leishmaniasis with lung involvement in acquired immunodeficiency syndrome].
Visceral leishmaniasis is not unusual in patients with acquired immunodeficiency syndrome (AIDS), but lung infiltration is uncommon. Leishmaniasis involving the lung often manifests as interstitial pneumonitis. We report a case in which the discovery of amastigotes in the transbronchial biopsy led to a diagnosis of leishmaniasis. However, the findings from x-rays and study of the bronchoalveolar lavage fluid were consistent with bronchiolitis obliterans, possibly caused by the AIDS virus. In addition, the transbronchial biopsy findings were consistent with a diagnosis of bronchioloalveolar adenoma with radiographic evidence of multiple nodules.
Herrejón
A
A
Servicio de Neumología, Hospital Universitario Dr. Peset, Valencia, España. aherrejon975j@cv.gva.es
Cervera
A
A
Maciá
M
M
Ferrer
R
R
Blanquer
R
R
D000163:Acquired Immunodeficiency Syndrome / Q000150:complications*; D018255:Adenomatosis, Pulmonary / Q000150:complications / Q000175:diagnosis*; D000328:Adult; D001989:Bronchiolitis Obliterans / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D007896:Leishmaniasis / Q000150:complications / Q000175:diagnosis*; D008174:Lung Diseases, Parasitic / Q000150:complications / Q000175:diagnosis*; D008297:Male