Anemia and oligoclonal gammopathy in a patient with nephrotic syndrome.
DOI:
https://doi.org/10.32818/reccmi.a6n2a12Keywords:
leishmaniasis, immunosuppression, steroids, nephrotic syndrome.Abstract
Visceral leishmaniasis is the most severe form of presentation of Leishmania infection. It is a multisystemic disease that often affects immunosuppressed patients. We present a case of a 72-year-old woman in chronic immunosuppressive therapy with steroids and cyclosporine who debuts with weight loss, asthenia, atypical pneumonia, splenomegaly, and polyclonal hypergammaglobulinemia with the diagnosis of visceral leishmaniasis and amastigotes of Leishmania in the bone marrow
Downloads
Metrics
References
- Dropulic LK, Lederman HM. Overview of Infections in the Immunocompromised Host. Microbiol Spectr. 2016 Aug;4(4). doi: https://doi.org/10.1128/microbiolspec.DMIH2-0026-2016.
- Aronson N, Herwaldt BL, Libman M, Pearson R, Lopez-Velez R, Weina P et al. Diagnosis and Treatment of Leishmaniasis: Clinical Practice Guidelines by the Infectious Diseases Society of America (IDSA) and the American Society of Tropical Medicine and Hygiene (ASTMH). Clin Infect Dis. 2016; 63(12): e202-e264. doi: https://doi.org/10.1093/cid/ciw670.
- Silva Junior GB, Barros EJ, Daher Ede F. Kidney involvement in leishmaniasis-a review. Braz J Infect Dis. 2014; 18(4): 434-40. doi: https://doi.org/10.1016/j.bjid.2013.11.013.
- Herrador Z, Gherasim A, Jimenez BC, Granados M, San Martín JV, Aparicio P. Epidemiological changes in leishmaniasis in Spain according to hospitalization-based records, 1997-2011: raising awareness towards leishmaniasis in non-HIV patients. PLoS Negl Trop Dis. 2015; 9(3): e0003594. doi: https://doi.org/10.1371/journal.pntd.0003594.
- González E, Jiménez M, Hernández S, Martín-Martín I, Molina R. Phlebotomine sand fly survey in the focus of leishmaniasis in Madrid, Spain (2012-2014): seasonal dynamics, Leishmania infantum infection rates and blood meal preferences. Parasit Vectors. 2017; 10(1): 368. doi: https://doi.org/10.1186/s13071-017-2309-z.
- van Griensven J, Carrillo E, López-Vélez R, Lynen L, Moreno J. Leishmaniasis in immunosuppressed individuals. Clin Microbiol Infect. 2014; 20(4): 286-99. doi: https://doi.org/10.1111/1469-0691.12556.
- Alvar J, Aparicio P, Aseffa A, Den Boer M, Cañavate C, Dedet JP et al. The relationship between leishmaniasis and AIDS: the second 10 years. Clin Microbiol Rev. 2008; 21(2): 334-59. doi: https://doi.org/10.1128/CMR.00061-07.
- Pittalis S, Nicastri E, Spinazzola F, Ghirga P, De Marco M, Paglia MG et al. Leishmania infantum leishmaniasis in corticosteroid--treated patients. BMC Infect Dis. 2006; 6: 177. doi: https://doi.org/10.1186/1471-2334-6-177.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Luisa Jiménez Reyes, Pilar Igea Gracia, Laura Lucía Checa Daimiel, Lidia Romero Calvo, Ana Gómez Berrocal
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Permite compartir, copiar y redistribuir el material en cualquier medio o formato, bajo los siguientes términos:
Reconocimiento: debe otorgar el crédito correspondiente, proporcionar un enlace a la licencia e indicar si se realizaron cambios. Puede hacerlo de cualquier manera razonable, pero no de ninguna manera que sugiera que el licenciante lo respalda a usted o su uso.
No comercial: no puede utilizar el material con fines comerciales.
No Derivados: si remezcla, transforma o construye sobre el material, no puede distribuir el material modificado.
Sin restricciones adicionales: no puede aplicar términos legales o medidas tecnológicas que restrinjan legalmente a otros de hacer cualquier cosa que permita la licencia.
