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Clinical Reviews

Leishmaniasis cutaneous-visceral, suspect it to diagnose it

Authors:

Palomares Gimeno MJa, Segura Navas Lb, Renau Solaz Sc, Bueno Claros Dd

aPediatra. CS Gran Vía. Castellón. España.
bPediatra. CS Gran Vía. Castellón. España.
cServicio de Urgencias. Hospital General de Castellón. Castellón. España.
dEnfermero. Consultorio Auxiliar Benicasim. Castellón. España.

Correspondence: MJ Palomares. Email: mjpalomares65@gmail.com

Reference of this article.:

Palomares Gimeno MJ, Segura Navas L, Renau Solaz S, Bueno Claros D. Leishmaniasis cutáneo-visceral, sospecharla para diagnosticarla. Rev Pediatr Aten Primaria. 2020;22:49-53.

Published in Internet: 09/03/2020

Abstract:

In the last 25 years there has been a global increase in cases of leishmaniasis. It is postulated that climate change, global increase in temperature, massive migrations from the countryside to the city and agro-industrial projects (creation of swamps, irrigation systems, water well formation...) enhance the emergence of reservoirs of sand-fly mosquitoes, which are the vectors of this disease. It should be noted that in the Valencian Community, an endemic area, the incidence rate has suffered a considerable increase in recent years. We describe a 2-year-old patient who presented clinical and analytical findings compatible with visceral leishmaniasis (fever, splenomegaly and pancytopenia), with the antecedent, several months before, of a cutaneous leishmaniasis. There are few cases in the literature that describe concomitant cutaneous and visceral leishmaniasis, a fact that gives importance to our case. The immaturity of the cellular immune response at that age could be the cause of this atypical presentation.

Keywords: Visceral leishmaniasis. Cutaneous leishmaniasis.


 


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