Soria López Estela, Olalla Sierra Julián, Del Arco Jiménez Alfonso, Pereda Salguero Teresa, Abitei Cristina, de la Torre Lima Javier
Servicio Aparato Digestivo, Hospital Costa del Sol. Marbella. Málaga, España.
Servicio Medicina Interna, Hospital Costa del Sol, Marbella, Málaga. .
Rev Esp Enferm Dig. 2016 Dec;108(12):838-840. doi: 10.17235/reed.2016.4038/2015.
To describe an unusual clinical presentation of visceral leishmaniasis affecting the colon.
We report the case of an HIV-positive patient with visceral leishmaniasis. We describe the clinical case, the procedures performed, the treatment provided and the patient's evolution. A comparative table of previously reported similar cases is shown.
Visceral leishmaniasis with intestinal involvement is an uncommon process. Nevertheless, this possibility should be taken into consideration in the differential diagnosis of immunosuppressed patients with symptoms of diarrhea, as a favorable prognosis depends on early diagnosis and appropriate treatment.
描述内脏利什曼病累及结肠的一种不寻常临床表现。
我们报告一例感染内脏利什曼病的HIV阳性患者。我们描述了临床病例、所采取的程序、给予的治疗以及患者的病情发展。展示了先前报告的类似病例的对比表。
伴有肠道受累的内脏利什曼病是一个不常见的过程。然而,在对有腹泻症状的免疫抑制患者进行鉴别诊断时应考虑到这种可能性,因为良好的预后取决于早期诊断和适当治疗。