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A rare case of visceral leishmaniasis in an immunocompetent traveler returning to the United States from Europe.
Haque, Lamia; Villanueva, Merceditas; Russo, Armand; Yuan, Youzhong; Lee, Eun-Ju; Topal, Jeffrey; Podoltsev, Nikolai.
Afiliación
  • Haque L; Department of Internal Medicine, Section of General Internal Medicine, Yale University School of Medicine, New Haven, Connecticut, United States of America.
  • Villanueva M; Department of Internal Medicine, Section of Infectious Diseases, Yale University School of Medicine, New Haven, Connecticut, United States of America.
  • Russo A; Department of Internal Medicine, Section of Hematology and Oncology, Yale University School of Medicine, New Haven, Connecticut, United States of America.
  • Yuan Y; Department of Pathology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States of America.
  • Lee EJ; Department of Internal Medicine, Section of Hematology and Oncology, Weill Cornell Medicine, New York, New York, United States of America.
  • Topal J; Department of Internal Medicine, Section of Infectious Diseases, Yale University School of Medicine, New Haven, Connecticut, United States of America.
  • Podoltsev N; Department of Internal Medicine, Section of Hematology and Oncology, Yale University School of Medicine, New Haven, Connecticut, United States of America.
PLoS Negl Trop Dis ; 12(10): e0006727, 2018 10.
Article en En | MEDLINE | ID: mdl-30286207
A young, healthy traveler returning to the United States presented with fever, night sweats, splenomegaly, and pancytopenia. Bone marrow biopsy revealed leishmaniasis (Leishmania infantum), likely acquired in southern France. Although many cases of endemic visceral leishmaniasis (VL) have been reported in Europe, this is a rare case of imported VL in a healthy traveler returning from Europe to the US. Despite successful initial treatment with liposomal amphotericin B (LamB), relapse occurred. Treatments for VL in immunocompetent individuals are highly effective, but relapse can occur. There is more extensive experience in endemic areas with treating relapse that may be lacking in North America. This case alerts physicians in the US that immunocompetent adults can acquire VL during brief visits to endemic areas in Europe. It is important that travelers be counseled on preventive measures. Patients should be monitored after treatment for relapse.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Viaje / Leishmania infantum / Enfermedades Transmisibles Importadas / Leishmaniasis Visceral Límite: Adult / Humans / Male País/Región como asunto: America do norte / Europa Idioma: En Revista: PLoS Negl Trop Dis Asunto de la revista: MEDICINA TROPICAL Año: 2018 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Viaje / Leishmania infantum / Enfermedades Transmisibles Importadas / Leishmaniasis Visceral Límite: Adult / Humans / Male País/Región como asunto: America do norte / Europa Idioma: En Revista: PLoS Negl Trop Dis Asunto de la revista: MEDICINA TROPICAL Año: 2018 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos