RT Journal Article
T1 Unusual endoscopic findings in an immunosuppressed patient.
A1 Jimenez-Garcia, Victoria Alejandra
A1 Romero-Castro, Rafael
A1 Rios-Martin, Juan
A1 Argüelles-Arias, Federico
A1 Valiente-Mendez, Adoracion
A1 Hergueta-Delgado, Pedro
A1 Caunedo-Alvarez, Angel
K1 Visceral leishmaniasis
K1 Gastrointestinal leishmaniasis
K1 HIV infection
K1 Immunosuppression
K1 Antiretroviral therapy
K1 Chronic diarrhea
AB 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.
PB Georg Thieme Verlag
YR 2021
FD 2021-12
LK http://hdl.handle.net/10668/17062
UL http://hdl.handle.net/10668/17062
LA en
NO Jimenez-Garcia VA, Romero-Castro R, Rios-Martin J, Argüelles-Arias F, Valiente-Mendez A, Hergueta-Delgado P, et al. Unusual endoscopic findings in an immunosuppressed patient. Endoscopy. 2021 Dec;53(12):E440-E441.
DS RISalud
RD Sep 19, 2025