Unusual duodenal presentation of leishmaniasis
This case report describes an atypical case of duodenal leishmaniasis in an elderly patient not infected with human immunodeficiency virus. Investigation of this 84 year old woman with a constitutional syndrome and dysphagia revealed anaemia of chronic disorder, a high erythrocyte sedimentation rate...
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| Veröffentlicht in: | Journal of clinical pathology 2005-12, Vol.58 (12), p.1321-1322 |
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| container_title | Journal of clinical pathology |
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| creator | Álvarez-Nebreda, M L Álvarez-Fernández, E Rada, S Brañas, F Marañón, E Vidán, M T Serra-Rexach, J A |
| description | This case report describes an atypical case of duodenal leishmaniasis in an elderly patient not infected with human immunodeficiency virus. Investigation of this 84 year old woman with a constitutional syndrome and dysphagia revealed anaemia of chronic disorder, a high erythrocyte sedimentation rate, and polyclonal hypergammaglobulinaemia. Abdominal ultrasonography revealed thickening of the stomach wall, which was seen to be inflamed during gastroscopy. Duodenal histology revealed numerous leishmania amastigotes within macrophages. This was confirmed by bone marrow biopsy and leishmania serology. This case report stresses the importance of atypical symptoms and the unusual location of visceral leishmaniasis, not only in immunodepressed patients, but also in elderly immunocompetent patients. |
| doi_str_mv | 10.1136/jcp.2005.027029 |
| format | Article |
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Investigation of this 84 year old woman with a constitutional syndrome and dysphagia revealed anaemia of chronic disorder, a high erythrocyte sedimentation rate, and polyclonal hypergammaglobulinaemia. Abdominal ultrasonography revealed thickening of the stomach wall, which was seen to be inflamed during gastroscopy. Duodenal histology revealed numerous leishmania amastigotes within macrophages. This was confirmed by bone marrow biopsy and leishmania serology. This case report stresses the importance of atypical symptoms and the unusual location of visceral leishmaniasis, not only in immunodepressed patients, but also in elderly immunocompetent patients.</description><identifier>ISSN: 0021-9746</identifier><identifier>EISSN: 1472-4146</identifier><identifier>DOI: 10.1136/jcp.2005.027029</identifier><identifier>PMID: 16311355</identifier><identifier>CODEN: JCPAAK</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd and Association of Clinical Pathologists</publisher><subject>Abdomen ; Acquired immune deficiency syndrome ; Aged, 80 and over ; AIDS ; Biological and medical sciences ; Biopsy ; Bone marrow ; Case Reports ; Duodenal Diseases - pathology ; duodenal infection ; Dysphagia ; elderly ; Endoscopy ; Female ; HIV ; Human immunodeficiency virus ; Human protozoal diseases ; Humans ; Infections ; Infectious diseases ; Intestinal Diseases, Parasitic - pathology ; Investigative techniques, diagnostic techniques (general aspects) ; Leishmania ; Leishmaniasis, Visceral - pathology ; Leshmaniasis ; Medical sciences ; Mortality ; Parasitic diseases ; Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques ; Protozoal diseases ; Tumors ; visceral leishmaniasis</subject><ispartof>Journal of clinical pathology, 2005-12, Vol.58 (12), p.1321-1322</ispartof><rights>Copyright 2005 Journal of Clinical Pathology</rights><rights>2006 INIST-CNRS</rights><rights>Copyright: 2005 Copyright 2005 Journal of Clinical Pathology</rights><rights>Copyright © Copyright 2005 Journal of Clinical Pathology 2005</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1770806/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1770806/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17346818$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16311355$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Álvarez-Nebreda, M L</creatorcontrib><creatorcontrib>Álvarez-Fernández, E</creatorcontrib><creatorcontrib>Rada, S</creatorcontrib><creatorcontrib>Brañas, F</creatorcontrib><creatorcontrib>Marañón, E</creatorcontrib><creatorcontrib>Vidán, M T</creatorcontrib><creatorcontrib>Serra-Rexach, J A</creatorcontrib><title>Unusual duodenal presentation of leishmaniasis</title><title>Journal of clinical pathology</title><addtitle>J Clin Pathol</addtitle><description>This case report describes an atypical case of duodenal leishmaniasis in an elderly patient not infected with human immunodeficiency virus. Investigation of this 84 year old woman with a constitutional syndrome and dysphagia revealed anaemia of chronic disorder, a high erythrocyte sedimentation rate, and polyclonal hypergammaglobulinaemia. Abdominal ultrasonography revealed thickening of the stomach wall, which was seen to be inflamed during gastroscopy. Duodenal histology revealed numerous leishmania amastigotes within macrophages. This was confirmed by bone marrow biopsy and leishmania serology. This case report stresses the importance of atypical symptoms and the unusual location of visceral leishmaniasis, not only in immunodepressed patients, but also in elderly immunocompetent patients.</description><subject>Abdomen</subject><subject>Acquired immune deficiency syndrome</subject><subject>Aged, 80 and over</subject><subject>AIDS</subject><subject>Biological and medical sciences</subject><subject>Biopsy</subject><subject>Bone marrow</subject><subject>Case Reports</subject><subject>Duodenal Diseases - pathology</subject><subject>duodenal infection</subject><subject>Dysphagia</subject><subject>elderly</subject><subject>Endoscopy</subject><subject>Female</subject><subject>HIV</subject><subject>Human immunodeficiency virus</subject><subject>Human protozoal diseases</subject><subject>Humans</subject><subject>Infections</subject><subject>Infectious diseases</subject><subject>Intestinal Diseases, Parasitic - pathology</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Leishmania</subject><subject>Leishmaniasis, Visceral - pathology</subject><subject>Leshmaniasis</subject><subject>Medical sciences</subject><subject>Mortality</subject><subject>Parasitic diseases</subject><subject>Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques</subject><subject>Protozoal diseases</subject><subject>Tumors</subject><subject>visceral leishmaniasis</subject><issn>0021-9746</issn><issn>1472-4146</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqFks2LE0EQxRtR3Bg9e5OA6EGYWNXffRFM8AsWRXD32tTM9Lgd5yM7PSP639shcVe9eKqC-tXj8XiMPUZYIwr9clft1xxArYEb4O4OW6A0vJAo9V22AOBYOCP1GXuQ0g4AhUFxn52hFvldqQVbX_Rzmqld1fNQhz4v-zGk0E80xaFfDc2qDTFdddRHSjE9ZPcaalN4dJpLdvH2zZft--L807sP29fnRSm1mQrkimoudKgdBucIFBlpqWmMKAEbpQw6jhYU8LIJlSydgZrLutGW0FVBLNmro-5-LrtQV9nQSK3fj7Gj8acfKPq_L3288l-H7x6NAQs6Czw_CYzD9RzS5LuYqtC21IdhTl5bKxxX9r8gOpsTzbEt2dN_wN0wjzmxzBiLwLUTLlNP_jR-4_h34hl4dgIoVdQ2I_VVTLecEVJbPPgqjlxMU_hxc6fxm9dGGOU_Xm692HC-vdxs_OfMvzjyZbe7VQN_qInPNfGHmvhjTcQvVEarGQ</recordid><startdate>20051201</startdate><enddate>20051201</enddate><creator>Álvarez-Nebreda, M L</creator><creator>Álvarez-Fernández, E</creator><creator>Rada, S</creator><creator>Brañas, F</creator><creator>Marañón, E</creator><creator>Vidán, M T</creator><creator>Serra-Rexach, J A</creator><general>BMJ Publishing Group Ltd and Association of Clinical Pathologists</general><general>BMJ</general><general>BMJ Publishing Group LTD</general><general>Copyright 2005 Journal of Clinical Pathology</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7U9</scope><scope>H94</scope><scope>M7N</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20051201</creationdate><title>Unusual duodenal presentation of leishmaniasis</title><author>Álvarez-Nebreda, M L ; Álvarez-Fernández, E ; Rada, S ; Brañas, F ; Marañón, E ; Vidán, M T ; Serra-Rexach, J A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b467t-125ad236ed91e99a05a748aff73b01f557192180502bfec4b970d24df68a19ce3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Abdomen</topic><topic>Acquired immune deficiency syndrome</topic><topic>Aged, 80 and over</topic><topic>AIDS</topic><topic>Biological and medical sciences</topic><topic>Biopsy</topic><topic>Bone marrow</topic><topic>Case Reports</topic><topic>Duodenal Diseases - pathology</topic><topic>duodenal infection</topic><topic>Dysphagia</topic><topic>elderly</topic><topic>Endoscopy</topic><topic>Female</topic><topic>HIV</topic><topic>Human immunodeficiency virus</topic><topic>Human protozoal diseases</topic><topic>Humans</topic><topic>Infections</topic><topic>Infectious diseases</topic><topic>Intestinal Diseases, Parasitic - pathology</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Leishmania</topic><topic>Leishmaniasis, Visceral - pathology</topic><topic>Leshmaniasis</topic><topic>Medical sciences</topic><topic>Mortality</topic><topic>Parasitic diseases</topic><topic>Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques</topic><topic>Protozoal diseases</topic><topic>Tumors</topic><topic>visceral leishmaniasis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Álvarez-Nebreda, M L</creatorcontrib><creatorcontrib>Álvarez-Fernández, E</creatorcontrib><creatorcontrib>Rada, S</creatorcontrib><creatorcontrib>Brañas, F</creatorcontrib><creatorcontrib>Marañón, E</creatorcontrib><creatorcontrib>Vidán, M T</creatorcontrib><creatorcontrib>Serra-Rexach, J A</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of clinical pathology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Álvarez-Nebreda, M L</au><au>Álvarez-Fernández, E</au><au>Rada, S</au><au>Brañas, F</au><au>Marañón, E</au><au>Vidán, M T</au><au>Serra-Rexach, J A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Unusual duodenal presentation of leishmaniasis</atitle><jtitle>Journal of clinical pathology</jtitle><addtitle>J Clin Pathol</addtitle><date>2005-12-01</date><risdate>2005</risdate><volume>58</volume><issue>12</issue><spage>1321</spage><epage>1322</epage><pages>1321-1322</pages><issn>0021-9746</issn><eissn>1472-4146</eissn><coden>JCPAAK</coden><abstract>This case report describes an atypical case of duodenal leishmaniasis in an elderly patient not infected with human immunodeficiency virus. Investigation of this 84 year old woman with a constitutional syndrome and dysphagia revealed anaemia of chronic disorder, a high erythrocyte sedimentation rate, and polyclonal hypergammaglobulinaemia. Abdominal ultrasonography revealed thickening of the stomach wall, which was seen to be inflamed during gastroscopy. Duodenal histology revealed numerous leishmania amastigotes within macrophages. This was confirmed by bone marrow biopsy and leishmania serology. This case report stresses the importance of atypical symptoms and the unusual location of visceral leishmaniasis, not only in immunodepressed patients, but also in elderly immunocompetent patients.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd and Association of Clinical Pathologists</pub><pmid>16311355</pmid><doi>10.1136/jcp.2005.027029</doi><tpages>2</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Abdomen Acquired immune deficiency syndrome Aged, 80 and over AIDS Biological and medical sciences Biopsy Bone marrow Case Reports Duodenal Diseases - pathology duodenal infection Dysphagia elderly Endoscopy Female HIV Human immunodeficiency virus Human protozoal diseases Humans Infections Infectious diseases Intestinal Diseases, Parasitic - pathology Investigative techniques, diagnostic techniques (general aspects) Leishmania Leishmaniasis, Visceral - pathology Leshmaniasis Medical sciences Mortality Parasitic diseases Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques Protozoal diseases Tumors visceral leishmaniasis |
| title | Unusual duodenal presentation of leishmaniasis |
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