TY - JOUR
T1 - Leishmania infantum and Epstein-Barr virus co-infection in a patient with hemophagocytosis
AU - Gaifer, Zied
AU - Boulassel, Mohamed Rachid
N1 - Publisher Copyright:
© Z. Gaifer and M-R. Boulassel, 2016.
PY - 2016
Y1 - 2016
N2 - The authors describe a rare case of a 27- year old previously healthy male presenting with high grade fever, pancytopenia, hepatosplenomegaly, high levels of ferritin and triglyceride, suggesting a diagnosis of hemophagocytic lymphohistiocytosis (HLH) syndrome. Other investigations showed a positive Leishmania infantum serology and high Epstein-Barr virus (EBV) viremia. The diagnosis of a visceral leishmaniasis was confirmed by bone morrow biopsy, which showed Leishman-Donovan bodies and evidence of HLH. The patient received liposomal amphotericin B and he had a complete resolution of his symptoms and clearance of EBV viremia. This case of HLH associated with visceral leishmaniasis and EBV co-infection raises the question about the significance of EBV in patients with HLH. The treatment of actual etiological agent can lead to complete cure while using current recommend chemotherapy for HLH-related EBV in a patient with hidden infection may have deleterious effects.
AB - The authors describe a rare case of a 27- year old previously healthy male presenting with high grade fever, pancytopenia, hepatosplenomegaly, high levels of ferritin and triglyceride, suggesting a diagnosis of hemophagocytic lymphohistiocytosis (HLH) syndrome. Other investigations showed a positive Leishmania infantum serology and high Epstein-Barr virus (EBV) viremia. The diagnosis of a visceral leishmaniasis was confirmed by bone morrow biopsy, which showed Leishman-Donovan bodies and evidence of HLH. The patient received liposomal amphotericin B and he had a complete resolution of his symptoms and clearance of EBV viremia. This case of HLH associated with visceral leishmaniasis and EBV co-infection raises the question about the significance of EBV in patients with HLH. The treatment of actual etiological agent can lead to complete cure while using current recommend chemotherapy for HLH-related EBV in a patient with hidden infection may have deleterious effects.
KW - Coinfection
KW - Epstein-Barr virus
KW - Hemophagocytosis
KW - Leishmania infantum
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U2 - 10.4081/idr.2016.6545
DO - 10.4081/idr.2016.6545
M3 - Article
C2 - 28191297
AN - SCOPUS:85012075671
SN - 2036-7430
VL - 8
SP - 78
EP - 79
JO - Infectious Disease Reports
JF - Infectious Disease Reports
IS - 4
ER -
