RSS-Feed abonnieren
PDF herunterladen
DOI: 10.1055/s-0040-1715983
Mediastinal Lymphadenopathy in Visceral Leishmaniasis
Autoren
Funding No funding sources.
Abstract
Visceral leishmaniasis (VL) usually presents with malaise, fever, weight loss, and hepatosplenomegaly. Lymphadenopathy is rarely reported in patients with VL from India. We report an interesting case of VL, presenting with malaise, fever and weight loss along with isolated mediastinal lymphadenopathy and mimicked tuberculosis. Absence of spleen because of previous splenectomy for symptomatic portal hypertension led to difficulty in establishing the correct diagnosis that was eventually established by endoscopic ultrasound (EUS)-guided fine-needle aspiration (FNA).
Publikationsverlauf
Artikel online veröffentlicht:
16. August 2021
© 2022. Society of Gastrointestinal Endoscopy of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
-
References
- 1 van Griensven J, Diro E. Visceral leishmaniasis: recent advances in diagnostics and treatment regimens. Infect Dis Clin North Am 2019; 33 (01) 79-99
- 2 UpToDate. Visceral leishmaniasis: clinical manifestations and diagnosis. Available at: https://www.uptodate.com/contents/visceral-leishmaniasis-clinical-manifestations-and-diagnosis?search=kala%20azar&source=search_result&selectedTitle=1∼82&usage_type=default&display_rank=1. Accessed May 23, 2020
- 3 Agarwal P, Kumar V, Kaushal M, Kumari M, Chaudhary A. Indian visceral leishmaniasis with extensive lymphadenopathy - An unusual presentation: A case report with literature review. Cytojournal 2017; 14: 9
- 4 Rana SS, Bhasin DK, Singh K. Endoscopic ultrasound features of mediastinal tuberculosis. Endoscopy 2012; 44 (01) 106-107 , author reply 107
- 5 Rana SS, Bhasin DK, Srinivasan R, Singh K. Endoscopic ultrasound (EUS) features of mediastinal tubercular lymphadenopathy. Hepatogastroenterology 2011; 58 (107-108) 819-823
- 6 Choudhary NS, Kataria S, Guleria M, Puri R. Leishmaniasis presenting as small isolated mediastinal lymphadenopathy diagnosed by endoscopic ultrasound-guided fine-needle aspiration. Endoscopy 2015; 47 (Suppl 1 UCTN) E147-E148
- 7 Sihuay D, Gornals JB, Saumoy M. et al. Visceral leishmaniasis with mediastinal lymphadenopathy diagnosed with endoscopic ultrasound-guided fine needle aspiration. Rev Esp Enferm Dig 2016; 108 (11) 736-738