title: [Visceral leishmaniasis in an immunocompetent subject, acquired in the Pyrenees region].
abstract: BACKGROUND
  Visceral leishmaniasis can develop in immunocompetent subjects exposed to a risk of infestation during physical activities outdoors.
  
  
  METHODS
  A 35-year-old woman was hospitalized for impaired health status with fever, hepatomegaly, splenomegaly, and pancytopenia, which worsened during her stay. Leishmaniasis was finally diagnosed, based on serologic testing and the finding of Leishmania infantum in the sternal aspiration. Eight months earlier, she had spent two weeks at a lake in the Pyrenees. Treatment with meglumine antimoniate was efficacious.
  
  
  CONCLUSIONS
  This case is original because of the extent of the organomegaly and its onset after vacation in an area far from those where it is thought to be endemic.
authors.affiliation: Fédération de médecine interne, maladies infectieuses et tropicales, Hôpital Saint-André, Bordeaux (33).
authors.forename: Denis
authors.initials: D
authors.lastname: Malvy
authors.forename: Félix
authors.initials: F
authors.lastname: Djossou
authors.forename: C
authors.initials: C
authors.lastname: Ibanez
authors.forename: Rémy
authors.initials: R
authors.lastname: Vatan
authors.forename: Maïté
authors.initials: M
authors.lastname: Longy-Boursier
authors.forename: Michel
authors.initials: M
authors.lastname: Le Bras
mesh_terms: D000328:Adult; D000818:Animals; D000981:Antiprotozoal Agents / Q000627:therapeutic use; D005260:Female; D005602:France; D006529:Hepatomegaly / Q000209:etiology; D006801:Humans; D007121:Immunocompetence; D018314:Leishmania infantum / Q000302:isolation & purification*; D007898:Leishmaniasis, Visceral / Q000150:complications / Q000188:drug therapy / Q000469:parasitology*; D008536:Meglumine / Q000627:therapeutic use; D000077485:Meglumine Antimoniate; D009942:Organometallic Compounds / Q000627:therapeutic use; D013163:Splenomegaly / Q000209:etiology
chemical_list: D000981:Antiprotozoal Agents; D009942:Organometallic Compounds; D008536:Meglumine; D000077485:Meglumine Antimoniate