Fever of Unknown Origin: Don’t Forget Kala-Azar Even in Europe
  • Javier Moreno Díaz
    Internal Medicine Department, Hospital Universitario Miguel Servet, Zaragoza, Spain
  • David De las Cuevas León
    Cardiology Department, Hospital Universitario Miguel Servet, Zaragoza, Spain
  • Ana Martinez González
    Rehabilitation Department, Hospital de Barbastro, Huesca, Spain
  • Rebeca Rubio Escuin
    Haematology Department, Hospital Universitario Miguel Servet, Zaragoza, Spain


We present the case of a 70-year-old male patient with fever of unknown origin after a long period of convalescence from a previous admission to a chronic care hospital. During the admission, multiple combinations of antibiotic and antifungal treatments were prescribed, but with persistent fever and, eventually, neutropenia (200 lymphocytes, 0 neutrophils). Given the suspicion of infection at bone marrow level, a biopsy was performed as was serology of Leishmania, both diagnostic determinations.
Treatment with amphotericin B liposomal resulted in a good outcome.



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    Published: 2017-12-06
    Issue: Vol. 5 No. 2 (view)

    How to cite:
    Moreno Díaz J, De las Cuevas León D, Martinez González A, Rubio Escuin R. Fever of Unknown Origin: Don’t Forget Kala-Azar Even in Europe. EJCRIM 2017;5 doi:10.12890/2017_000772.

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