Dasgupta Senjuti, Saha Moutushi, Chakrabarti Sudipta, Chakraborty Jayati
Department of Pathology, Medical College, College Street, Kolkata, West Bengal, India.
Department of Pathology, ESI PGIMSR, Manicktala, Kolkata, West Bengal, India.
Lung India. 2014 Jan;31(1):56-8. doi: 10.4103/0970-2113.125913.
Visceral leishmaniasis (VL) is usually characterized by splenomegaly, pallor and fever. Pleural effusion is an uncommon feature of this disease, which is encountered in immunocompromised patients. Here, we report a case of VL with pleural effusion in an immunocompetent patient. Pulmonary symptoms in VL are usually related to bacterial lung infection, vagal nerve compression by splenomegaly, and hypoalbuminaemia with mild pulmonary edema. Our patient presented with cough and chest pain. The clinical features of this case were baffling since they mimicked that of pulmonary tuberculosis. This case report emphasizes the need to recognize the diverse nature of presentation of this curable yet fatal infectious disease.
内脏利什曼病（VL）通常表现为脾肿大、面色苍白和发热。胸腔积液是该疾病的一种罕见特征，多见于免疫功能低下的患者。在此，我们报告一例免疫功能正常的患者发生VL并伴有胸腔积液的病例。VL的肺部症状通常与细菌性肺部感染、脾肿大压迫迷走神经以及低白蛋白血症伴轻度肺水肿有关。我们的患者表现为咳嗽和胸痛。该病例的临床特征令人困惑，因为它们与肺结核的特征相似。本病例报告强调了认识这种可治愈但致命的传染病表现形式多样性的必要性。
