Visceral leishmaniasis (VL) or kala-azar may be mild or severe. Some patients are asymptomatic and do not realize that they carry the parasite. Symptoms appear in weeks to months after the bite of the sand fly. Less commonly, symptoms arise only years later when a person's immune system ...
He was treated with a 1-week course of intravenous liposomal amphotericin B followed by 28 days of oral fluconazole, resulting in complete resolution of his symptoms on follow-up 6 months later. Conclusion Muscosal leishmaniasis is a rare but treatable cause of dysphonia in travellers to the ...
Visceral leishmaniasis in patients infected with the human immunodeficiency virus The experience with 52 episodes of visceral leishmaniasis diagnosed in 43 patients is reported. The most common symptoms were fever (81%), splenomegaly (65... F Laguna,M Adrados,J Alvar,... - 《European Journal ...
donovani in the Indian subcontinent and East Africa. The incubation period is long and variable (2–8 months). The symptom triad of enlarged spleen, fever and pancytopenia is often present but other less specific symptoms (fatigue, weakness, loss of appetite and weight) are also common. In ...
A total of 17 cases (19%) were LLL, an atypical form with isolated lymphadenopathies without other symptoms. All LLL cases occurred in immunocompetent subjects, and only one subject (6%) was a native of sub-Saharan Africa. Similar to our case, a total of 73 subjects (81%) presented ...
in the Mediterranean area, Africa, Asia, and Latin America. This form of the disease is systemic, primarily affecting theliver,spleen,bone marrow, and other viscera. Symptoms, which includefever, weight loss, reduction in the number of white blood cells, and enlargement of the spleen and ...
Moreover, seven patients completed VL treatment using amphotericin B lipid formulations. The daily amphotericin B dose ranged from 1.4 to 5.0 mg/Kg, with a median of 2.5 mg/Kg. At the end of 12 months follow-up, all patients had achieved complete remission of VL symptoms and were ...
Vocal cord and pharyngeal examination is required if the patient is infected with New World cutaneous leishmaniasis or if symptoms suggestive of nasal, oral, or hypopharyngeal involvement are present. Diagnosis The diagnosis of cutaneous leishmaniasis should be considered in any patient with skin ...
There is bidirectional interaction in VL/HIV co-infection: VL modifies the immunological competence of HIV patients causing a drop in CD4 + lymphocytes and increases the viral load, while HIV increases the risk of developing VL and of producing atypical and disseminated symptoms. Typically, VL...
His symptoms began one year prior to admission with dry cough and gradual weight loss of a total of 30 kg. Night sweats and scant hemoptysis appeared the last month. A limited workup 6 months ago had revealed the presence of chronic active hepatitis B. The patient was working in a ...