Is Leishmania Infantum an Opportunistic Parasite in Patients With Anti—Human Immunodeficiency Virus Antibodies?
- 1 May 1988
- journal article
- research article
- Published by American Medical Association (AMA) in Archives of internal medicine (1960)
- Vol. 148 (5) , 1228
- https://doi.org/10.1001/archinte.1988.00380050232032
Abstract
To the Editor. —Leishmania infantumis the agent of an endemic anthropozoonosis in the Alpes-Maritimes department of France.1We report two cases of Mediterranean visceral leishmaniasis with anti—human immunodeficiency virus (anti-HIV) antibodies; at least one of the patients has acquired immunodeficiency syndrome (AIDS). Report of Cases. —Case 1. —A 39-year-old homosexual man was admitted for fever, diarrhea, and weight loss. He showed multiple enlarged lymph nodes and splenomegaly. Laboratory studies were as follows: white blood cell count, 3.3×10109/L (3300/mm3); lymphocytes, 0.45×10109/L (450/mm3); hemoglobin, 5.9 mmol/L (5.9 g/dL); platelet count, 75×10109/L (75/mm3); gammaglobulin, 35 g/L (3.5 g/dL); anti-HIV antibodies, positive (enzymelinked immunosorbent assay [ELISA], Pasteur Institute, and Western blot); and T4 cell count, 0.04× 109/L (4/mm3).Salmonella enteritidiswas found in blood cultures, andPneumocystis cariniiwas found in bronchoalveolar lavage specimens. Improvement was obtained withKeywords
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