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Please use this identifier to cite or link to this item: http://hdl.handle.net/10481/32483

Title: Visceral leishmaniasis caused by Leishmania infantum in a Spanish patient in Argentina: What is the origin of the infection? Case report
Authors: Martín-Sánchez, Joaquina
Navarro-Marí, José María
Pasquau-Liaño, Juan
Salomón, Óscar D.
Morillas-Márquez, Francisco
Issue Date: 2004
Abstract: Background: The question "Where have you been?" is a common one asked by doctors in Northern Europe and America when faced with clinical symptoms not typical of their country. This question must also arise in the clinics of developing countries in which non-autochthonous cases such as the one described here can appear. Important outbreaks of Leishmania infantum have been recorded in the last decade in several Latin American countries but its presence has not yet been recorded in Argentina. We report the first case of visceral leishmaniasis owing to L. infantum in this country. Case presentation: A 71-year-old Spanish woman who has been living in Mendoza, Argentina, during the last 40 years presented with a history of high fever and shivering, anemia, leukopenia and splenomegaly over two years. Argentinian doctors did not suspect visceral leishmaniasis even when the histological analysis revealed the presence of "intracytoplasmatic spheroid particles compatible with fungal or parasitic infection". After a serious deterioration in her health, she was taken to Spain where she was evaluated and visceral leishmaniasis was established. Specific identification of the parasite was done by PCR-ELISA, isoenzyme electrophoresis and RAPD-PCR. Conclusion: We would like to point out that: i) cases such as the one described here, which appear in non-endemic areas, can pass unnoticed by the clinical physician. ii) in countries in which these introduced cases reside, in-depth parasitological studies are required into vectors and possible reservoirs to rule out the rare case of local infection and, once infection has taken place, to ensure that this does not spread by anthroponotic transmission or a competent reservoir.
Publisher: Biomed Central
Keywords: Leishmania infantum
Parasitological studies
Leishmaniasis
URI: http://hdl.handle.net/10481/32483
ISSN: 1471-2334
Rights : Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License
Citation: Martín-Sánchez, J.; et al. Visceral leishmaniasis caused by Leishmania infantum in a Spanish patient in Argentina: What is the origin of the infection? Case report. BMC Infectious Diseases, 4: 20 (2004). [http://hdl.handle.net/10481/32483]
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