Duodenal leishmaniasis diagnosed by biopsy in two HIV-positive patients

作者: M.J. Alonso , E. Muñz , A. Picazo , M.M. Abad , F. Gómez

DOI: 10.1016/S0344-0338(97)80092-1

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摘要: We describe two cases of duodenal leishmaniasis in patients with human immunodeficiency virus (HIV) infection, diagnosed by light and electron microscopy. The presented nonspecific signs symptoms, blood cultures were sterile, serological tests for Leishmania spp. negative. Endoscopy showed normal-appearing mucosa one patient possible peptic duodenitis the other patient. In these patients, parasite was only detected a biopsy specimen. view unusual location fact that diagnostic dissemination disease established means conventional biopsy, this is not routine procedure diagnosis because classic procedures require demonstration antibodies visualization bone marrow, lymph nodes, liver and/or spleen aspirates. decided to report call attention finding amastigotes biopsies from intestinal HIV infected patients.

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