A rare parasitic infection: visceral leishmaniasis case after gastric cancer treatment
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Date
2018
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Abstract
We present a case of Visceral Leishmaniasis (VL) in a patient with gastric cancer treated with chemoradiotherapy. A 69-year-old man with gastric carcinoma had been treated with total gastrectomy, lymphadenectomy and postoperative radiotherapy with chemotherapy. Then 3 years after treatment, due to pancytopenia with progressive trombocytopenia and splenomegaly, bone marrow examination was performed and Leishmania spp. amastigotes were diagnosed. When antibiotherapy was completed, splenomegaly was eliminated and the laboratory results became normal. VL should be kept in mind in the differential diagnosis of patients, even adults, with splenomegaly, trombocytopenia and a history of contact with dogs in endemic countries such as Turkey. © 2018, Springer-Verlag GmbH Austria, part of Springer Nature.
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amphotericin B lipid complex , cisplatin , fluorouracil , hemoglobin , aged , amastigote , anorexia , Article , blood cell count , bone marrow biopsy , cancer chemotherapy , cancer radiotherapy , cancer therapy , case report , clinical article , clinical examination , fatigue , human , human cell , human tissue , iron deficiency anemia , leukocyte , leukopenia , lymph node dissection , male , postoperative care , priority journal , signet ring carcinoma , splenomegaly , stomach carcinoma , thrombocyte , thrombocytopenia , total stomach resection , visceral leishmaniasis