Hospital das Clínicas da Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Am J Trop Med Hyg. 2013 Mar;88(3):575-7. doi: 10.4269/ajtmh.12-0563. Epub 2013 Jan 16.
We describe a case of hemophagocytic lymphohistiocytosis related to visceral leishmaniasis in late adulthood. Because clinical features of visceral leishmaniasis can mimic those of hemophagocytic lymphohistiocytosis, diagnosing leishmaniasis as the underlying etiology can be quite challenging. In our case, treatment with amphotericin B resulted in a dramatic resolution of clinical abnormalities.
我们描述了一例发生于成年晚期的与内脏利什曼病相关的噬血细胞性淋巴组织细胞增生症。由于内脏利什曼病的临床特征可类似于噬血细胞性淋巴组织细胞增生症,因此诊断利什曼病为潜在病因颇具挑战性。在我们的病例中,两性霉素 B 治疗导致临床异常显著缓解。