An unusual case of pancytopenia in a nonagenarian: visceral leishmaniasis.
Older patients referred for further investigation of pancytopenia is common in internal medicine and geriatric clinics and it is important to consider a wide range of underlying diagnoses. We present an unusual case of febrile pancytopenia in a nonagenarian who was diagnosed with visceral leishmaniasis. This is a rare and unusual diagnosis in nonagenarians, although the leishmaniasis is endemic on the Mediterranean coast of Spain. It is important to identify it because it is treatable and curable.
Department of Internal Medicine, Servicio de Medicina Interna, Hospital General Universitario de Alicante, C/Pintor Baeza, 12, 03010, Alicante, Spain, jramosrincon@yahoo.es.
José M
JM
Ramos
Antonio
A
Tello
Rafael
R
León
Esperanza
E
Merino
D000369:Aged, 80 and over; D006801:Humans; D007898:Leishmaniasis, Visceral / Q000175:diagnosis* / Q000469:parasitology; D008297:Male; D010198:Pancytopenia / Q000175:diagnosis* / Q000469:parasitology*