PubMed · 2004 · 13 citations · 0 references
Veterinary MedicineImmunologyInfectious DiseasesDiagnostic ParasitologyImmunopathologyRheumatologyHost-parasite InteractionsImmunopathology Of Parasitic DiseaseParasitic Disease DiagnosisParasitic Disease PathogenesisParasitic DiseasesParasitic PathologyImmunopathology Of LeishmaniasisImmunosuppressive CompoundsLeishmaniasis PathogenesisLeishmaniasis PathologyTreatment Of LeishmaniasisVisceral Leishmaniasis
We report a case of visceral leishmaniasis in a patient receiving steroids and cyclophosphamide for polyarteritis nodosa. The clinical presentation of leishmaniasis, with fever, pancitopenia and hypergammaglobulinemia may be confused with a reactivation of vasculitis or with other non-infectious conditions such as haematologic diseases. In endemic areas, the case of latent leishmaniasis must be considered and serology for Leishmania should be performed before starting immunosuppressive treatment.