Roig P, Cuadrado J M, Benéitez C, Mayol M J, López M, Navarro V, Nieto A, Bernacer B
Servicio de Medicina Interna, Hospital del SVS de San Juan, Alicante.
Rev Clin Esp. 1993 Apr;192(6):271-3.
We discuss two cases of visceral leishmaniasis (VL) with intestinal invasion in patients diagnosed of infection due to human immunodeficiency virus (HIV). The onset was as diarrheic manifestation associated to a constitutional syndrome, with no fever. One of the patients responded to treatment with antimonials, while the other died. References on this subject are scarce, being found on a literature search two similar cases as the ones described by us. We think that with every diarrheic process in HIV+ patients, VL diagnosis should be considered, and an intestinal biopsy should be performed.