J.M. Grau, MD; X. Bosch, MD; A.C. Salgado, MD; A. Urbano-Márquez, MD
To the editor: Although numerous opportunistic infections have been reported in either patients with the acquired immunodeficiency syndrome (AIDS) or the AIDS-related complex (1), only a few cases of visceral leishmaniasis in these patients have been reported (2-4). We report a case of this disease in a patient with an atypical presentation that consisted of prolonged fever and progressive severe pancytopenia, but no spleen enlargement or hyperglobulinemia.
A 35-year-old white man who reported only occasional intravenous drug abuse and heterosexual promiscuity (one of his sex partners was positive for human immunodeficiency virus [HIV] ) was hospitalized in May 1988 for
Grau J, Bosch X, Salgado A, Urbano-Márquez A. Human Immunodeficiency Virus (HIV) and Aplastic Anemia. Ann Intern Med. ;110:576–577. doi: 10.7326/0003-4819-110-7-576
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Published: Ann Intern Med. 1989;110(7):576-577.
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