%0 Journal Article
%A Jimenez-Garcia, Victoria Alejandra
%A Romero-Castro, Rafael
%A Rios-Martin, Juan
%A Argüelles-Arias, Federico
%A Valiente-Mendez, Adoracion
%A Hergueta-Delgado, Pedro
%A Caunedo-Alvarez, Angel
%T Unusual endoscopic findings in an immunosuppressed patient.
%D 2021
%U http://hdl.handle.net/10668/17062
%X Immunosuppressed patients are susceptible to infections by opportunistic agents such as Leishmania that could cause visceral leishmaniasis with gastrointestinal involvement in up to 10 % of cases. We report a 41-year-old man with human immunodeficiency virus (HIV) infection stage C3 with CD4 lymphocytes 81/mm3, 4,070 leukocytes (47.2 % lymphocytes, 0.0 % eosinophils, rest of differential normal) treated with antiretroviral therapy (dolutegravir/abacavir/lamivudine) with good adherence. He also reported mesangiocapillary glomerulonephritis type-1, hepatocutaneous porphyria, and a 7-year history of recurrent visceral leishmaniasis treated with liposomal amphotericin B as secondary prophylaxis. Esophagogastroduodenoscopy and colonoscopy indicated for chronic diarrhea and anemia performed 5 years ago displayed antral erythema, mild nodular appearance in the duodenal mucosa, and normal colonic mucosa. Gastric, duodenal, and colonic biopsies revealed Leishmania spp despite treatment with liposomal amphotericin B.
%K Visceral leishmaniasis
%K Gastrointestinal leishmaniasis
%K HIV infection
%K Immunosuppression
%K Antiretroviral therapy
%K Chronic diarrhea
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