title: Report of an atypical case of leishmaniasis presented as acute tonsillitis in an immunocompetent patient.
abstract: Visceral leishmaniasis typically presents with symptoms such as fever, enlargement of the spleen and the liver, hypergammaglobulinaemia and infection of the bone marrow resulting in anaemia and leukopenia. The disease is sporadic in the countries of the Mediterranean basin. We report an unusual case of acute tonsillitis due to tonsillar leishmaniasis, in an immunocompetent 34-y-old male patient. Diagnosis was confirmed by serological tests and histopathological examination following biopsy of the right tonsil. The patient was successfully treated with liposomal amphotericin-B.
authors.affiliation: Second Internal Medicine Department of General State Hospital of Nikea-Piraeus, Nikea-Piraeus, Greece.
authors.forename: Sofoclis
authors.initials: S
authors.lastname: Kouyialis
authors.forename: Stefanos
authors.initials: S
authors.lastname: Archontakis
authors.forename: Charalambos
authors.initials: C
authors.lastname: Bilinis
authors.forename: Stavriani
authors.initials: S
authors.lastname: Nikolaou
authors.forename: Evgenia
authors.initials: E
authors.lastname: Stavropoulou
authors.forename: Charilaos
authors.initials: C
authors.lastname: Samaras
authors.forename: Christos
authors.initials: C
authors.lastname: Sarafoglou
authors.forename: Irene
authors.initials: I
authors.lastname: Nicolaou
authors.forename: Aikaterini
authors.initials: A
authors.lastname: Parasi
authors.forename: Maria
authors.initials: M
authors.lastname: Minadaki
mesh_terms: D000208:Acute Disease; D000328:Adult; D000818:Animals; D000913:Antibodies, Protozoan / Q000097:blood; D006801:Humans; D007121:Immunocompetence; D007893:Leishmania donovani / Q000276:immunology; D007898:Leishmaniasis, Visceral / Q000175:diagnosis* / Q000276:immunology / Q000469:parasitology / Q000473:pathology; D008297:Male; D014069:Tonsillitis / Q000175:diagnosis* / Q000469:parasitology / Q000473:pathology
chemical_list: D000913:Antibodies, Protozoan