Report of an atypical case of leishmaniasis presented as acute tonsillitis in an immunocompetent patient

Author: Kouyialis Sofoclis   Archontakis Stefanos   Bilinis Charalambos   Nikolaou Stavriani   Stavropoulou Evgenia   Samaras Charilaos   Sarafoglou Christos   Nicolaou Irene   Parasi Aikaterini   Minadaki Maria  

Publisher: Informa Healthcare

ISSN: 0036-5548

Source: Scandinavian Journal of Infectious Diseases, Vol.37, Iss.11-12, 2005-11, pp. : 916-918

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Abstract

Visceral leishmaniasis typically presents with symptoms such as fever, enlargement of the spleen and the liver, hypergammaglobulinaemia and infection of the bone marrow resulting in anaemia and leukopenia. The disease is sporadic in the countries of the Mediterranean basin. We report an unusual case of acute tonsillitis due to tonsillar leishmaniasis, in an immunocompetent 34-y-old male patient. Diagnosis was confirmed by serological tests and histopathological examination following biopsy of the right tonsil. The patient was successfully treated with liposomal amphotericin-B.