[Pseudotumoral-like recurrence of visceral leishmaniasis in a seven-year-old girl].
Visceral leishmaniasis is endemic around Mediterranean and is considered by certain authors as an opportunist disease. We report on the case of a 7-year-old girl treated by anti-TNF for an idiopathic juvenile arthritis which has presented a visceral leishmaniasis. Four years later, she presented a pseudotumoral-like recurrence located in a nasal mucous membrane. Leishmania infantum is classically responsible for visceral leishmaniasis but pure mucocutaneous leishmaniasis has been described. It is, for our knowledge, the first observation of a recurrence of visceral leishmaniasis in a mucocutaneous location. Atypical leishmaniasis in the endemic zones can appear in immunodepressed patients and must be evoked when in doubt.
Jeziorski
E
E
CHU de Montpellier, Hôpital Arnaud de Villeneuve, Service de Pédiatrie III, 371, avenue du Doyen Gaston Giraud, 34295 Montpellier cedex 5. jezior@free.fr
Blanchet
C
C
Ludwig
C
C
Lalande
M
M
Coste
V
V
Dereure
J
J
Rodière
M
M
D000276:Adjuvants, Immunologic / Q000627:therapeutic use; D000818:Animals; D000913:Antibodies, Protozoan / Q000276:immunology; D000953:Antigens, Protozoan / Q000276:immunology; D002648:Child; D004283:Dog Diseases / Q000175:diagnosis / Q000276:immunology / Q000635:transmission; D004285:Dogs; D005260:Female; D006801:Humans; D007074:Immunoglobulin G / Q000276:immunology; D007371:Interferon-gamma / Q000627:therapeutic use; D018314:Leishmania infantum / Q000276:immunology*; D016773:Leishmaniasis, Cutaneous / Q000188:drug therapy / Q000276:immunology / Q000635:transmission; D007898:Leishmaniasis, Visceral / Q000175:diagnosis* / Q000188:drug therapy / Q000276:immunology / Q000635:transmission; D015047:Zoonoses / Q000635:transmission
D000276:Adjuvants, Immunologic; D000913:Antibodies, Protozoan; D000953:Antigens, Protozoan; D007074:Immunoglobulin G; D007371:Interferon-gamma