Por favor, use este identificador para citar o enlazar este ítem:
https://www.arca.fiocruz.br/handle/icict/36868
Tipo
ArtículoDerechos de autor
Acceso abierto
Fecha del embargo
2020-11-05
Colecciones
- INI - Artigos de Periódicos [3439]
- IOC - Artigos de Periódicos [12596]
Metadatos
Mostrar el registro completo del ítem
CASE REPORT: ATYPICAL LESIONS AS A SIGN OF CUTANEOUS DISSEMINATION OF VISCERAL LEISHMANIASIS IN A HUMAN IMMUNODEFICIENCY VIRUS-POSITIVE PATIENT SIMULTANEOUSLY INFECTED BY TWO VISCEROTROPIC LEISHMANIA SPECIES
Atypical lesions
Human Immunodeficiency Virus
Viscerotropic Leishmania species
Autor
Afiliación
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório Interdisciplinar de Pesquisas Médicas. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório Interdisciplinar de Pesquisas Médicas. Rio de Janeiro, RJ, Brasil.
Secretaria Municipal de Saúde de Cabo Frio. Cabo Frio, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Pesquisa em Leishmaniose. Rio de Janeiro, RJ, Brasil.
Charité University Medicine Berlin. Institute of Microbiology and Hygiene. Berlin, Germany.
Fundação Oswaldo Cruz. Instituto de Pesquisa Clínica Evandro Chagas. Laboratório de AIDS e Imunologia Molecular. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto de Pesquisa Clínica Evandro Chagas. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório Interdisciplinar de Pesquisas Médicas. Rio de Janeiro, RJ, Brasil.
Secretaria Municipal de Saúde de Cabo Frio. Cabo Frio, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Pesquisa em Leishmaniose. Rio de Janeiro, RJ, Brasil.
Charité University Medicine Berlin. Institute of Microbiology and Hygiene. Berlin, Germany.
Fundação Oswaldo Cruz. Instituto de Pesquisa Clínica Evandro Chagas. Laboratório de AIDS e Imunologia Molecular. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto de Pesquisa Clínica Evandro Chagas. Rio de Janeiro, RJ, Brasil.
Resumen en ingles
Leishmaniasis is considered an emerging opportunistic disease in human immunodeficiency virus (HIV)–
infected patients who have considerably variable clinical presentation. We report a patient with visceral leishmaniasis who had unexpected clinical aspects (atypical cutaneous lesions appearing after long-term evidence of visceral parasites). The patient had hepatoesplenomegaly in the absence of fever, but was otherwise generally healthy. The HIV viral load was low despite severe immunossupression (low lymphocyte proliferation and low level of interferon-γ, concomitant with a high lymphocyte activation status). Surprisingly, two Leishmania strains were isolated from his bone marrow (typical L. infantum sequence MON-1, type A) and skin (L. donovani MON-2 sequence); this second strain had not been previously identified in Brazil. The association of visceral leishmaniasis and HIV/acquired immunodeficiency syndrome is a largely unknown disease, particularly in areas in which leishmaniasis is not endemic. Such atypical cases indicate that this disease can be undiagnosed in clinical settings.
Palabras clave en ingles
Visceral leishmaniasisAtypical lesions
Human Immunodeficiency Virus
Viscerotropic Leishmania species
Compartir