Fever of Unknown Origin: Don’t Forget Kala-Azar Even in Europe

Moreno Díaz, Javier and De las Cuevas León, David and Martinez González, Ana and Rubio Escuin, Rebeca (2017) Fever of Unknown Origin: Don’t Forget Kala-Azar Even in Europe. European Journal of Case Reports in Internal Medicine, 5 (2). ISSN 2284-2594

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We present the case of a 70-year-old male patient with fever of unknown origin after a long period of convalescence from a previous admission to a chronic care hospital. During the admission, multiple combinations of antibiotic and antifungal treatments were prescribed, but with persistent fever and, eventually, neutropenia (200 lymphocytes, 0 neutrophils). Given the suspicion of infection at bone marrow level, a biopsy was performed as was serology of Leishmania, both diagnostic determinations. Treatment with amphotericin B liposomal resulted in a good outcome.

Item Type: Article
Uncontrolled Keywords: Leishmania, leishmaniasis, neutropenia, fever, kala-azar
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale)
Depositing User: Chiara D'Arpa
Date Deposited: 18 May 2018 14:27
Last Modified: 18 May 2018 14:27
URI: http://eprints.bice.rm.cnr.it/id/eprint/17755

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