<html><head><meta http-equiv="content-type" content="text/html; charset=utf-8"></head><body dir="auto"><div style="-webkit-text-size-adjust: auto;">Dear all.</div><div style="-webkit-text-size-adjust: auto;">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. </div><div style="-webkit-text-size-adjust: auto;">On physical exam he presented mild splenomegaly. Bone marrow aspirate showed some Leishmania sp.</div><div style="-webkit-text-size-adjust: auto;">However, we decided not to treat this patient because he was symptomless after few days of hospitalization and he was discharged.</div><div><span style="-webkit-text-size-adjust: auto;">Some days later, we received bone marrow </span><span style="-webkit-text-size-adjust: auto; background-color: rgba(255, 255, 255, 0);">immunophenotyping</span><span style="-webkit-text-size-adjust: auto;"> compatible with Lymphoma.</span></div><div style="-webkit-text-size-adjust: auto;">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?</div><div style="-webkit-text-size-adjust: auto;"><br></div><div style="-webkit-text-size-adjust: auto;"><br><div><font style="-webkit-tap-highlight-color: rgba(26, 26, 26, 0.296875); -webkit-composition-fill-color: rgba(175, 192, 227, 0.230469); -webkit-composition-frame-color: rgba(77, 128, 180, 0.230469); ">Abraços,</font></div><div><font style="-webkit-tap-highlight-color: rgba(26, 26, 26, 0.296875); -webkit-composition-fill-color: rgba(175, 192, 227, 0.230469); -webkit-composition-frame-color: rgba(77, 128, 180, 0.230469); "><b><br></b></font></div><div><font style="-webkit-tap-highlight-color: rgba(26, 26, 26, 0.296875); -webkit-composition-fill-color: rgba(175, 192, 227, 0.230469); -webkit-composition-frame-color: rgba(77, 128, 180, 0.230469); "><b>Prof. Dr. Igor Thiago</b></font><font style="-webkit-tap-highlight-color: rgba(26, 26, 26, 0.296875); -webkit-composition-fill-color: rgba(175, 192, 227, 0.230469); -webkit-composition-frame-color: rgba(77, 128, 180, 0.230469); "> Borges de </font><font style="-webkit-tap-highlight-color: rgba(26, 26, 26, 0.296875); -webkit-composition-fill-color: rgba(175, 192, 227, 0.230469); -webkit-composition-frame-color: rgba(77, 128, 180, 0.230469); "><b>Queiroz</b></font><font style="-webkit-tap-highlight-color: rgba(26, 26, 26, 0.296875); -webkit-composition-fill-color: rgba(175, 192, 227, 0.230469); -webkit-composition-frame-color: rgba(77, 128, 180, 0.230469); "> e Silva</font><span style="background-color: rgba(255, 255, 255, 0);"><br>Infectologista do Hospital Giselda Trigueiro - SESAP - Natal/RN</span></div><div><span style="background-color: rgba(255, 255, 255, 0);">Professor de Infectologia da Universidade Potiguar (UnP) | Laureate International Universities</span></div><div><span style="background-color: rgba(255, 255, 255, 0);"><a href="mailto:igorthiago@usp.br" x-apple-data-detectors="true" x-apple-data-detectors-type="link" x-apple-data-detectors-result="0/0">igorthiago@usp.br</a></span></div><div><a href="mailto:igorthiago@hotmail.com">igorthiago@hotmail.com</a></div><div>+55 (84) 9608-7999</div></div></body></html>