Author/Authors :
Toogeh, Gholamreza tehran university of medical sciences tums - Imam Khomeini Hospital - Hematology-Oncology and BMT Research Center, تهران, ايران , Shirkoohi, Reza tehran university of medical sciences tums - Cancer Institute, Imam Khomeini Hospital Complex - Cancer Research Center, تهران, ايران , keyhani, Manouchehr tehran university of medical sciences tums - Imam Khomeini Hospital - Hematology-Oncology and BMT Research Center, تهران, ايران , Nickbin, Mehdi Pasargad Hospital - Department of Infectious Diseases, ايران , Najafi, Safa tehran university of medical sciences tums - Imam Khomeini Hospital - Hematology-Oncology and BMT Research Center, تهران, ايران , Salimi, Maryam tehran university of medical sciences tums - Imam Khomeini Hospital - Hematology-Oncology and BMT Research Center, تهران, ايران , Farsi, Leila gonabad university of medical sciences - Physiology Department, Basic Sciences Ward, ايران , Ferdowsi, Shirin gonabad university of medical sciences - Hematology Department , Basic Sciences Ward, ايران
Abstract :
We describe a case of leishmaniasis in a 55-year-old male who presented with weakness, fever and anemia. The patient was born and lived all his life in Talaghan, a non-endemic region of kala-azar and there was no history of travel to endemic reigon for leishmania. In primary diagnosis, the patient suspect has been myelofibrosis and then lymphoma and underwent chemotherapy. His general condition worsened and bone marrow biopsy was performed again and leishmania promastigotes seen in the bone marrow. Specific identification of the parasite was done by RAPD-PCR. After two weeks of treatment, he was transferred to ICU due to heart attack and after 4 days he died due to aortic valve ABE.
Keywords :
Visceral leishmaniasis , Myelofibrosis , Low grade lymphoma , Sporadic region
