Leishmaniasis as a Neglected Cause of Isolated Lymphadenopathy: A Case Report
-
Eslam SHORAFA
,
Gholamreza POLADFAR
,
Roholla ADELIAN
,
Mahmood SHARIAT
,
Mohammad Reza MINAEE
,
Syeed Mohammad HASHEMI
,
Maryam TAZANG
Abstract
Leishmaniasis is an endemic parasitic disease in Iran. This paper reports the case of a 5-yr-old boy who presented with multiple isolated cervical lymphadenopathy for several months with no history of fever and no signs or symptoms. In an excisional lymph node biopsy, Leishmania parasites were histologically detected. Thus, leishmaniasis should be included in the differential diagnosis of isolated lymphadenitis in immunocompetent patients, even if the K39 and IFA for kala-azar are reported as negative.
Aflatoonian MR, Sharifi I, Hakimi Parizi M, Fekri AR, Aflatoonian B, Sharifi M, Khosravi A, Khamesipour A, Sharifi H (2014). A prospective cohort study of cu-taneous leishmaniasis risk and opium ad-diction in south eastern Iran. PLoS One, 9(2):e89043.
Karami M, Doudi M, Setorki M (2013). As-sessing epidemiology of cutaneous leishmaniasis in Isfahan, Iran. J Vector Borne Dis, 50(1):30-7.
Mohebali M (2013). Visceral leishmania-sis in Iran: Review of the Epidemio-logical and Clinical Features. Iran J Parasitol, 8(3):348-58.
Melchionda F, Varani S, Carfagnini F, Belotti T, Di Muccio T, Tigani R, Bergamaschi R, Pession A (2014). Spleen nodules: a potential hallmark of Visceral Leishmaniasis in young children. BMC Infect Dis, 14:620.
Sayyahfar S, Ansari S, Mohebali M, Behnam B (2014). Visceral leishmaniasis without fever in an 11-month-old infant: a rare clinical feature of Kala-azar. Korean J Para-sitol, 52(2):189-91.
Kumar B, Verma P (2013). Role of fine-needle aspiration cytology in the prompt diagnosis of recurrence of visceral leish-maniasis presented as isolated cervical leishmanial lymphadenopathy. Diagn Cyto-pathol, 41(2):150-2.
Mortazavi H, Soori T, Khamesipour A, Khatami A, Vasheghani-Farahani A (2014). Co-existence of cutaneous leish-maniasis with pleural effusion: a case re-port from Iran. Acta Med Iran, 52(3):231-3.
Yaghoobi R, Maraghi S, Bagherani N (2009). Cutaneous Leishmaniasis with Unusual Presentation. Iran J Parasitol, 4(2):67-69.
Choudhary NS, Kataria S, Guleria M, Puri R (2015). Leishmaniasis presenting as small isolated mediastinal lymphadenopathy di-agnosed by endoscopic ultrasound-guided fine-needle aspiration. Endoscopy, 47 Suppl 1:E147-8.
Sharma M, Malhotra A (2012). Isolated leishmanial lymphadenopathy - a rare type of leishmaniasis in India: a case re-port. Diagn Cytopathol, 40(11):1002-4.
Ignatius R, Loddenkemper C, Woitzik J, Schneider T, Harms G (2011). Localized leishmanial lymphadenopathy: an unusual manifestation of leishmaniasis in a travel-er in southern Europe. Vector Borne Zoono-tic Dis, 11(8):1213-5.
| Files | ||
| Issue | Vol 45 No 7 (2016) | |
| Section | Case Report(s) | |
| Keywords | ||
| Leishmaniasis Lymphadenopathy Kala-azar | ||
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