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Visceral leshmaniasis diagnosed on duodenal biopsy in a child

Journal Volume 66 - 2003
Issue Fasc.3 - Case reports
Author(s) S. Boukthir, A. Mejri, S. M'rad, S. Barsaoui
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Service de Médecine Infantile C, Hôpital d'Enfants, Bab Saadoun.1007 Tunis Jebbari. Tunisia.

Visceral leishmaniasis is usually easy to recognize when clinical presentation is complete : splenomegaly, fever and palor associat- ed to pancytopenia, hypoalbuminaemia and hypergamma globu- linemia. Bone marrow smears, culture and serology confirm the diagnosis. We report the case of an infant in whom clinical and biological findings are suggestive of leishmaniasis and the diagnosis con- firmed only by duodenal biopsy. (Acta gastroenterol. belg., 2003, 66, 258-259).

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