Pancytopenia in a simultaneous pancreas and kidney transplant recipient: an unexpected cause - a case of visceral leishmaniasis in a transplant recipient.
A transplant recipient presented with fever and pancytopenia. Bone marrow biopsy showed Leishmania parasites. Travel history revealed a trip to Greece 17 months prior to admission. This case illustrates the importance of considering leishmaniasis as a cause of pancytopenia, especially in the immunocompromised, even in the absence of recent travel to an endemic area. Acknowledgment of this infection is vital as the outcome can be fatal if left untreated.
Department of Internal Medicine, Leiden University Medical Center, Leiden, Department of Critical Care, University Medical Center Groningen, University of Groningen, The Netherlands. h.aardema@int.umcg.nl
H
H
Aardema
Y W J
YW
Sijpkens
L G
LG
Visser
D000328:Adult; D000666:Amphotericin B / Q000627:therapeutic use; D000981:Antiprotozoal Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D016867:Immunocompromised Host; D016030:Kidney Transplantation; D007898:Leishmaniasis, Visceral / Q000175:diagnosis* / Q000188:drug therapy; D016035:Pancreas Transplantation; D010198:Pancytopenia / Q000469:parasitology*
D000981:Antiprotozoal Agents; D000666:Amphotericin B