Report of an atypical case of leishmaniasis presented as acute tonsillitis in an immunocompetent patient.
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.
Kouyialis
Sofoclis
S
Second Internal Medicine Department of General State Hospital of Nikea-Piraeus, Nikea-Piraeus, Greece.
Archontakis
Stefanos
S
Bilinis
Charalambos
C
Nikolaou
Stavriani
S
Stavropoulou
Evgenia
E
Samaras
Charilaos
C
Sarafoglou
Christos
C
Nicolaou
Irene
I
Parasi
Aikaterini
A
Minadaki
Maria
M
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
D000913:Antibodies, Protozoan