Eric Rosenthal, MD; Pierre Marty, MD; Alain Pesce, MD; Hôpital de Cimiez
To the Editors: Visceral leishmaniasis is an endemic disease in southeastern France, with well-known clinical features. However in human immunodeficiency virus (HIV)-infected patients, bioclinical aspects are often atypical and parasites may be found in unusual sites (1-3). In this case report, Leishmania were found in bronchoalveolar lavage fluid and blood. To our knowledge, this finding has not been previously reported.
40-year-old heterosexual HIV-seropositive man was admitted for fever, weight loss, cough, and headache. Clinical examination revealed hepatomegaly without splenomegaly and adenopathy. Laboratory studies were as follows: leukocyte count, 1.4 x 109/L; lymphocyte cdunt, 0.58 x 109/L; hemoglobin concentration, 5
Rosenthal E, Marty P, Pesce A, de Cimiez H. Leishmania in Bronchoalveolar Lavage. Ann Intern Med. ;114:1064–1065. doi: 10.7326/0003-4819-114-12-1064_2
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Published: Ann Intern Med. 1991;114(12):1064-1065.
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