Journal Article

Visceral Leishmaniasis in Costa Rica: First Case Report

Juan Carrillo, Misael Chinchilla, Berta Valverde, Oscar Porras and Luis Mora

in Clinical Infectious Diseases

Published on behalf of Infectious Diseases Society of America

Volume 29, issue 3, pages 678-679
Published in print September 1999 | ISSN: 1058-4838
Published online September 1999 | e-ISSN: 1537-6591 | DOI: http://dx.doi.org/10.1086/598653
Visceral Leishmaniasis in Costa Rica: First Case Report

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We describe a 15-month-old eutrophic immunocompetent male who presented with fever, hepatosplenomegaly, pancytopenia, and hypergammaglobulinemia. Leishmania amastigotes were identified in spleen and bone marrow specimens. In addition, tissue culture, animal inoculation, and isoenzyme analysis identified the parasite as Leishmania donovani infantum or Leishmania donovani chagasi. The infant was successfully treated with an antimonial drug. These findings represent the first case of visceral leishmaniasis reported in Costa Rica.

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Subjects: Infectious Diseases ; Immunology ; Public Health and Epidemiology ; Microbiology

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