DOI: 10.12890/2017_000772

Fever of Unknown Origin: Don’t Forget Kala-Azar Even in Europe

Authors

  • 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

javimorenomdr@hotmail.com

Abstract

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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References

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Published

2017-12-06

Issue

Vol. 5 No. 2 (2018)

How to Cite

1.
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 [Internet]. 2017 Dec. 6 [cited 2026 Nov. 3];5(2). Available from: https://ejcrim.com/index.php/ejcrim/article/view/772

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