Unusual presentations of Visceral leishmaniasis.
We report 3 cases of Visceral leishmaniasis, who presented with unusual clinical manifestations. One child was diagnosed as hemophagocytic syndrome; another masqueraded with features of leukemoid changes alongwith hemophagocytosis and trilineage myelodysplasia; the third case presented with pyothorax. All the three patients showed amastigote forms of Leishmania donovani and positive serology (rk39 antigen). They showed complete clinical, hematological and parasitological resolution with Amphotericin B therapy.
Prasad
Rajniti
R
Department of Pediatrics,Institute of Medical Sciences, Banaras Hindu University, Varanasi 221005, India. rajnitip@gmail.com
Muthusami
Sunil
S
Pandey
Nisha
N
Tilak
Vijay
V
Shukla
Jyoti
J
Mishra
Om Prakash
OP
D000666:Amphotericin B / Q000627:therapeutic use; D000981:Antiprotozoal Agents / Q000627:therapeutic use; D002648:Child; D003937:Diagnosis, Differential; D006801:Humans; D007898:Leishmaniasis, Visceral / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D008297:Male
D000981:Antiprotozoal Agents; D000666:Amphotericin B