From the Departments of Internal Medicine Medical School, Shiraz University of Medical Sciences, Shiraz, Islamic Republic of Iran.
Abstract: (4447 Views)
Visceral leishmaniasis is the second most common cause of fever of unknown
origin in our study. This disease is not common in adults, although it's endemic
among the pediatric age group. The majority of the affected individuals were young.
High grade spiking fever, chills and splenomegaly were unique findings. Other
common findings were neutropenia, anemia, abnormal liver function tests, sterile
pyuria and microscopic hematuria. Except for I case, parasites were absent from
tissue biopsies (e.g. bone marrow, liver, lymph node). Diagnosis was suggested by
indirect fluorescent antibody (IFA) and confirmed by response to meglumine
antimonate (Glucantime) and decline of IFA titer on follow-up.