Visceral leishmaniasis with mediastinal lymphadenopathy diagnosed with endoscopic ultrasound-guided fine needle aspiration.
A 44-year-old man with a HIV infection and levels of CD4 < 100/mm3, under antiretroviral therapy and with a previous medical history of visceral leishmaniasis (VL), was admitted to hospital with progressive muscular weakness and paraesthesia in both legs for three months. Imaging procedures were performed, showing a leptomeningeal thickening and enlargement of hilar and mediastinal lymph nodes.
Endoscopy Unit, Department of Digestive Disease, Hospital Universitari de Bellvitge-IDIBELL, Bar.
Denisse
D
Sihuay
Endoscopia/Aparato Digestivo, Hospital Universitari de Bellvitge-IDIBELL, España.
Joan B
JB
Gornals
Infectious Diseases, Hospital Universitari de Bellvitge-IDIBELL.
Maria
M
Saumoy
Pathology Department, Hospital Universitari de Bellvitge-IDIBELL.
Nuria
N
Baixeras
Endoscopy Unit, Department of Digestive Disease, Hospital Universitari de Bellvitge-IDIBELL.
Ariadna
A
Sánchez
Endoscopy Unit, Department of Digestive Disease, Hospital Universitari de Bellvitge-IDIBELL.
Claudia F
CF
Consiglieri
Pathology Department, Hospital Universitari de Bellvitge-IDIBELL.
Isabel
I
Catalá
D000328:Adult; D061765:Endoscopic Ultrasound-Guided Fine Needle Aspiration / Q000379:methods*; D015658:HIV Infections / Q000150:complications; D006801:Humans; D007898:Leishmaniasis, Visceral / Q000150:complications* / Q000000981:diagnostic imaging* / Q000469:parasitology; D008198:Lymph Nodes / Q000000981:diagnostic imaging / Q000469:parasitology; D000072281:Lymphadenopathy / Q000150:complications* / Q000000981:diagnostic imaging*; D008297:Male; D008477:Mediastinal Diseases / Q000150:complications* / Q000000981:diagnostic imaging*