1/7. epiglottis involvement in a visceral leishmaniasis.The visceral form of leishmaniasis caused by leishmania infantum is frequently observed in Mediterranean countries, however otorhinolaryngeal involvement has only rarely been reported in the literature. We report here the case of a 23-year-old cameroon man, resident in france since 1991, and presenting with recurrent epistaxis and an epiglottis tumoral lesion. The visceral form of leishmaniasis with hepatosplenomegaly and pancytopenia was diagnosed. culture of the epiglottal lesion revealed L. infantum. Serological test for human immunodeficiency virus was negative and the patient was not on immunosuppressive drugs. Dramatic improvement was observed with antimony.- - - - - - - - - - ranking = 1keywords = leishmaniasis (Clic here for more details about this article) |
2/7. sarcoidosis manifesting as massive splenomegaly: a rare occurrence.sarcoidosis is a multisystemic granulomatous disease of unknown origin occurring worldwide and affecting people of all races and ages. This disease manifests most frequently with bilateral hilar lymphadenopathy, pulmonary infiltrates, and skin and ocular lesions. Granulomatous inflammation of the spleen is common in patients with sarcoidosis, but splenic enlargement is unusual and massive splenomegaly quite rare. splenomegaly is usually homogeneous, but multiple low-attenuating nodular lesions are occasionally seen and easily mistaken for lymphoma, metastases, or infections such as tuberculosis. We describe an unusual case of sarcoidosis in a woman who presented with massive splenomegaly with extensive nodularity that cleared completely with corticosteroid therapy.- - - - - - - - - - ranking = 1.0884735447532E-5keywords = world (Clic here for more details about this article) |
3/7. Visceral leishmaniasis: a difficult diagnosis and unusual causative agent.In a young man who had a prolonged fever of unknown origin, hepatosplenomegaly, and progressive pancytopenia, stained smears, blood-agar cultures of bone marrow, and serologic testing for antileishmanial antibodies were negative. Biopsies from liver and bone marrow were uninformative. Visceral leishmaniasis was diagnosed only after splenectomy, when amastigotes were finally cultured from the spleen. The parasite was shown to be an unusual leishmanial parasite, possessing a mixture of intrinsic biochemical and serologic characteristics displayed independently by leishmania tropica and leishmania donovani sensu lato, the latter being the usual cause of visceral leishmaniasis. After splenectomy, parasites were also demonstrated in stained bone marrow aspirate smears. Recovery was uneventful after treatment with antimony for 28 days. Visceral leishmaniasis can be a cause of fever of unknown origin and should be considered in its differential diagnosis in endemic areas.- - - - - - - - - - ranking = 1.1666666666667keywords = leishmaniasis (Clic here for more details about this article) |
4/7. CT findings in visceral leishmaniasis mimicking lymphoma.A case of visceral leishmaniasis (Kala-Azar) is presented which clinically and on CT examination mimicked lymphoma. The value of the recognition of the previously unreported CT findings of visceral leishmaniasis is discussed.- - - - - - - - - - ranking = 1keywords = leishmaniasis (Clic here for more details about this article) |
5/7. Kala-azar in afghanistan.The first three cases of kala-azar from afghanistan are reported. Two girls (aged 4 and 5 years) and a 5-year-old boy reported from Kabul and Badghis Province with classical features of visceral leishmaniasis. The diagnosis was based on the demonstration of amastigotes in the bone marrow.- - - - - - - - - - ranking = 0.16666666666667keywords = leishmaniasis (Clic here for more details about this article) |
6/7. Visceral leishmaniasis after cardiac surgery.An English child developed visceral leishmaniasis (kala-azar) after cardiac surgery. Neither he nor his mother had ever been out of the UK, and his disease was probably transmitted by blood transfusion. Kala-azar should be considered in patients with unexplained fever and hepatosplenomegaly, even if there is no history of foreign travel.- - - - - - - - - - ranking = 0.83333333333333keywords = leishmaniasis (Clic here for more details about this article) |
7/7. Regression of diffuse intralobular liver fibrosis associated with visceral leishmaniasis.Diffuse intralobular fibrosis of the liver is rare in cases of New World visceral leishmaniasis. A patient with this disease from a newly endemic area in the northernmost area of the Brazilian Amazon region was studied. hypertrophy and hyperplasia of the phagocytic mononuclear cell system were observed, with parasitism and Disse's space fibrosis diffusely involving the liver. This description is based on a biopsy carried out after seven days of treatment with Glucantime. Another biopsy performed almost two years later showed no fibrosis, no Kupffer cell hypertrophy and hyperplasia, and no parasitism. The mechanism of fibrosis and regression is discussed.- - - - - - - - - - ranking = 0.83333333333333keywords = leishmaniasis (Clic here for more details about this article) |