[Leish-l] Leishmaniasis and Lymphoma

[jlindoso at usp.br]

Dear Igor,
If the diagnostic was confirmed by bone marrow aspirate, i suggest to treat the patient before lymphoma treatment, because it is possible present severe disease during lymphoma treatmen.
Sincerely

José Angelo Lauletta Lindoso
Laboratório de Soroepidemiologia e Imunobiologia
Instituto de Medicina Tropical de São Paulo - USP
Av. Dr. Enéas de Carvalho Aguiar, 450, Prédio II
CEP. 05403-000
Telefone:(11) 3061 - 7023
Fax: (11) 30618270


----- Igor Thiago Queiroz <igorthiago at usp.br> escreveu:
> Dear all.
> We have an adult male patient, which presented some symptoms like fever, malaise, abdominal pain and weight loss for 15 days, and fever has disappeared posteriorly. 
> On physical exam he presented mild splenomegaly. Bone marrow aspirate showed some Leishmania sp.
> However, we decided not to treat this patient because he was symptomless after few days of hospitalization and he was discharged.
> Some days later, we received bone marrow immunophenotyping compatible with Lymphoma.
> What should we do now? Treat this patient for leishmaniasis before therapy for cancer? With Ambisome? Or should we expect the patient has some leishmaniasis symptoms before specific treatment?
> 
> 
> Abraços,
> 
> Prof. Dr. Igor Thiago Borges de Queiroz e Silva
> Infectologista do Hospital Giselda Trigueiro - SESAP - Natal/RN
> Professor de Infectologia da Universidade Potiguar (UnP) | Laureate International Universities
> igorthiago at usp.br
> igorthiago at hotmail.com
> +55 (84) 9608-7999
> 
> --
> 
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