title: Tropical mayhem: a chronic viral disease with superadded parasitic infection.
abstract: Coexistence of two illnesses in the same patient may result in atypical manifestations of either or both diseases. A case of hepatitis B virus-related cirrhosis in a patient who presented with a pharyngeal mucosal mass lesion as a manifestation of superadded Leishmania infection is presented here. The clue to the diagnosis was the origin of the patient from an area highly endemic for leishmaniasis and the presence of unexplained polyclonal hypergammaglobulinaemia. The patient responded very well to therapy with amphotericin B with complete disappearance of the mucosal lesion.
authors.affiliation: Department of Gastroenterology, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Kaushal
authors.initials: K
authors.lastname: Madan
authors.affiliation: Department of Gastroenterology, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Sreenivasa Baba
authors.initials: SB
authors.lastname: Chalamalsetty
authors.affiliation: Department of Gastroenterology, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Siddharth
authors.initials: S
authors.lastname: Srivastava
authors.affiliation: Department of Pathology, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Siddhartha Datta
authors.initials: SD
authors.lastname: Gupta
authors.affiliation: Department of Microbiology, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Bijay R
authors.initials: BR
authors.lastname: Mirdha
authors.affiliation: Department of Gastroenterology, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Govind K
authors.initials: GK
authors.lastname: Makharia
authors.affiliation: Department of Microbiology, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Jyotish C
authors.initials: JC
authors.lastname: Samataray
authors.affiliation: Department of Gastroenterology, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Subrat K
authors.initials: SK
authors.lastname: Acharya
mesh_terms: D000328:Adult; D000666:Amphotericin B / Q000627:therapeutic use; D019353:Endemic Diseases; D019694:Hepatitis B, Chronic / Q000150:complications* / Q000175:diagnosis*; D006801:Humans; D006942:Hypergammaglobulinemia / Q000209:etiology; D007896:Leishmaniasis / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D008103:Liver Cirrhosis / Q000150:complications / Q000175:diagnosis; D008297:Male; D009092:Mucous Membrane / Q000473:pathology; D010614:Pharynx / Q000473:pathology
chemical_list: D000666:Amphotericin B