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Please use this identifier to cite or link to this item: http://hdl.handle.net/1807/20342


Title: Concurrent cutaneous, visceral and ocular Leishmaniasis caused by Leishmania (Viannia) braziliensis in a kidney transplant patient
Authors: Gontijo, Célia Maria Ferreira
Pacheco, Raquel S.
Oréfice, Fernando
Lasmar, Euler
Silva, Eduardo S.
Melo, Maria Norma
Keywords: Leishmania braziliensis   - cutaneous, visceral and ocular leishmaniasis - kidney transplant
Issue Date: 31-Dec-2002
Publisher: Fundação Oswaldo Cruz, Fiocruz
Citation: Memórias do Instituto Oswaldo Cruz (ISSN: 1678-8060) Vol 97 Num 5
Abstract: Although cases of leishmaniasis co-infection have been described in acquired immunodeficiency syndrome patients as well as those who have undergone organ transplants, to our knowledge, the present report is the first documented case of simultaneous cutaneous, visceral and ocular leishmaniasis due to Leishmania (Viannia) braziliensis   in a transplant patient. The patient had been using immunosuppressive drugs since receiving a transplanted kidney. The first clinical signs of leishmaniasis included fever, thoracic pain, hepatosplenomegaly, leucopenia and anemia. The cutaneous disease was revealed by the presence of amastigotes in the skin biopsy. After three months, the patient presented fever with conjunctive hyperemia, intense ocular pain and low visual acuity. Parasites isolated from iliac crest, aqueous humor and vitreous body were examined using a range of molecular techniques. The same strain of L. (V.) braziliensis was responsible for the different clinical manifestations. The immunosuppressive drugs probably contributed to the dissemination of Leishmania .
URI: http://hdl.handle.net/1807/20342
Other Identifiers: http://www.bioline.org.br/abstract?id=oc02143
Rights: Copyright 2002 - Instituto Oswaldo Cruz - Fiocruz
Appears in Collections:Bioline International Legacy Collection

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