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Images in Clinical Medicine
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Volume 335:1034 October 3, 1996 Number 14
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Visceral Leishmaniasis

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Figure 1. A 72-year-old Spanish woman admitted to the hospital for high fever and leukopenia had neither hepatomegaly nor splenomegaly, as assessed by physical examination and abdominal ultrasonography. A bone marrow aspirate shows intracellular and extracellular amastigotes (A), the form of the leishmania organism that lacks an exteriorized flagellum. The kinetoplast is an independently replicating organelle in the mitochondrion of the organism. The findings in the bone marrow were surprising because of the lack of organomegaly. The patient was treated with pentavalent antimonial compounds for 20 days. At follow-up 10 days later, the leukopenia and fever had resolved. AN . . . [Full Text of this Article]

 

Related Letters:

Visceral Leishmaniasis
Moore T. A., Bueno M.J. G., García J. H.
Extract | Full Text  
N Engl J Med 1997; 336:965-966, Mar 27, 1997. Correspondence

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